Athlete Questionnaire - Thomas Endurance Coaching

Email

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Date*

Name*

First Last

Email*

Phone*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

How did you hear about TEC?*

i.e. Google, Social Media, Friend, Newsletters, etc.

What is your primary discipline?*

ie. Cycling, Mountain Biking, Ultra-Marathon Running, Swimming, Triathlon, etc.

Have you already been in communication with a specific TEC coach? If so, please select from the list below:*

Training Profile

What equipment do you have access to?*

Please describe a typical training week for you:

Click on (+) icon to add additional rows.

Monday

Distance/Duration	Specific Activity (if any)	Notes

Tuesday

Distance/Duration	Specific Activity (if any)	Notes

Wednesday

Distance/Duration	Specific Activity (if any)	Notes

Thursday

Distance/Duration	Specific Activity (if any)	Notes

Friday

Distance/Duration	Specific Activity (if any)	Notes

Saturday

Distance/Duration	Specific Activity (if any)	Notes

Sunday

Distance/Duration	Specific Activity (if any)	Notes

Have you experienced any major life changes recently? Anything that has/will impact your schedule and how consistent exercise fits into your life? If so, please provide more detail.

How long have you been an active:*

Current average weekly time spent exercising:*

How many hours weekly do you think you can handle without feeling overtrained?*

On average, how many days per week do you exercise?*

How many days a week do you feel you can exercise and still feel like you have time for the other areas of your life?*

Types of Training

How many "hard" sessions or "specific workouts" do you do each week?*

(i.e. interval workouts, hill repeats, long tempo sessions, strength training, etc.)

If you do specific workouts, what days of the week do you normally do them?

Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

When are your typical rest days, if any?*

Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
I don't typically take any rest days

On which day(s) do you typically have the most time for longer workouts?*

Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
It varies greatly depending on my work/life schedule

What is the farthest distance or time you have gone in a single training session (in your primary discipline)?*

Do you have access to a stationary bike and/or treadmill?*

Yes
No

Do you have access to hills/climbing?*

Yes
No

Do you train with, or have an interest in training with a heart rate monitor?*

Yes, I currently train with a heart rate monitor
I don't currently train with a heart rate monitor but I am interested
I don't train with a heart rate monitor and I am not interested in training with one

Do you train with, or have an interest in training with a power meter?*

Yes, I currently train with a power meter
I don't currently train with a power meter but I am interested
I don't train with a power meter and I am not interested in training with one
This doesn't apply to my race discipline

Strengths/Weaknesses

What would you consider to be your key strengths as far as natural ability as well as your favorite types of workouts?*

(ie. Short intervals, strength training, tempo workouts, hill training, long efforts, etc.)

Where do you feel your weaknesses lie and what are your least favorite types of workouts?*

What is your favorite way to push/challenge yourself in training?*

Injuries

Please describe any injuries you have had (include type of injury, date, possible cause, how long it lasted, etc.):*

Other Exercise

Please describe in detail any other supplemental types of exercise (exercise outside of your primary discipline) that you regularly perform as a part of your overall fitness or training approach:*

History of Accomplishments

List your all-time personal best accomplishments:

Press (+) icon to add additional lines.

Distance/Discipline/Event	What was your goal?	Year	Location

What do you hope to accomplish?

Goals and expectations in the next three months:*

Goals and expectations in the next six months:*

Goals and expectations in the next twelve to twenty-four months:*

How will you define success throughout this process?*

List goals/experiences of interest that you would like to complete over the next twenty four months:

Press (+) icon to add additional lines.

Distance/Discipline/Event	Date(s)

List dates of travel, vacation, life events, or any other activity that may impact training consistency. The plan will be adjusted for these special day(s).

Press (+) icon to add additional lines.

Travel/Event	Date(s)

More About You

Why do you train/exercise?*

What do you consider your biggest barrier to reaching your goals?*

What is your profession and position?*

ie. lots of travel, sedentary/seated, physically demanding, high stress, etc.

On a scale of 1-10 how would you rate your daily stress level?*

How would you rate your personal confidence from 1-5?*

(1=not great, 5=unstoppable)

Have you struggled with burnout, overtraining, and/or mental & emotional setbacks in the past?*

Is your success dependent on how well you are performing?*

Do you experience performance anxiety before big workouts or races?*

Describe your ideal vision of what it means to be performing as your best self?*

How much does your mental state or mindset affect your performance?*

How often do you find yourself distracted by competing or comparing yourself with other athletes or people around you?*

Have you ever worked with a mental performance or mindset coach in the past? If so, what are you looking to build on, or how would you like to continue to grow?*

Are you interested in a FREE introductory call with our Mental Performance Coach?*

Yes.
Not at this time.

Nutrition/General Health Inquiry

Do you feel that nutrition is an important component of your success as an athlete? If so, how comfortable are you in navigating your nutrition in relation to your performance?*

What are your nutrition and hydration goals?

What are your current challenges when it comes to nutrition and hydration?

What do you feel like is going well when it comes to nutrition/hydration?

Please list any food sensitivities or allergies you have.

What does a typical day of eating and drinking look like for you? Please detail your typical day for both training and non-training days.

Would you like support in your daily nutrition/hydration outside of training?

Yes
No
Not Sure Yet

Would you like support in your fueling and hydration for training/racing?

Yes
No
Not Sure Yet

How would you describe your sweat rate?

Heavy
Moderate
Light
No Idea

How would you describe the composition of your sweat?

Very Salty
Moderately Salty
Low Salt
No Idea

Medications and Supplements: (Please list all prescription and over-the-counter medications, vitamin, mineral, and nutritional supplements, herbs/botanicals, and diet aids you are currently taking. Write N/A if you're currently not taking anything)*

Are your currently, or have you historically, followed a specific diet plan or regiment? if so, please provide details on the specifics.

Do you have previous experience working with a Dietitian? If so, how do you feel the relationship supported your goals?

Are you interested in a FREE introductory call with one of our Registered Dietitian/Nutritionists?*

Yes.
Not at this time.

Anything Else?

Please provide any other information that might be helpful in analyzing your needs and developing a personalized training approach (i.e. your ability to push yourself, your ability to handle certain types of exercise, things that have worked well for you in the past, etc.). Also, please include any comments about your long-term goals and expectations:

Agreement to use Thomas Endurance Coaching Inc. Services and Waive Liability

I voluntarily choose to utilize the personal coaching services of Thomas Endurance Coaching Inc. in order to improve my training and racing. I understand that the training philosophy of Thomas Endurance Coaching Inc. is to very gradually and scientifically increase my ability to train and race more effectively. I also understand that this training philosophy may create certain potential risks such as abnormalities in my blood pressure, breathing, heart rate, and/or muscular-skeletal system that cannot be predicted with complete accuracy. I understand that I am responsible for monitoring my own condition throughout the training program developed by these personal coaching services which I have chosen and agreed to undertake, and should inform my coach if any unusual symptoms or conditions occur, I will immediately cease following the training program and inform my coach of the symptoms or condition. In stating that I agree to this agreement and waiver of liability, I acknowledge that I have read this form in its entirety and that I understand the potential risks associated with these personal coaching services. I also agree to consult with and obtain written permission from my primary care physician prior to undertaking this new training program. If I do not consult with and obtain permission from my primary care physician, I accept any and all consequences that may result from this inaction on my part. Finally, in consideration for being allowed to participate and choosing to engage in this training program, I agree to assume the risks of such training, and further agree to hold harmless Thomas Endurance Coaching Inc. from any and all claims, suits, losses, and/or related causes of actions and damages, including, but not limited to, such claims that may result from my injury or death, accidental or otherwise, during or arising in any way from, these personal coaching services.

To agree, please check the box below:*

I have read, understand, and agree to the above Agreement.