Client Intake Form Name * First Name Last Name Email * Phone * (###) ### #### Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Birthday * MM DD YYYY What services are you interested in? * Annual Training Plan Event Preparation Load & Go What long term goals do you have? * What is your biggest challenge to "work around"? * What do you enjoy most about training or racing? * What do you enjoy least about training or racing? * What race or event do you plan to complete in the next 6-12 months? * When? * MM DD YYYY What race or event do you plan to complete in the next 6-12 months? Additional races/events & dates. What 3-5 goals do you have for the next 6-12 months? * Things you can control. Can be sport or non-sport related. List 3 expectations you want me to fulfill as your coach. * What can I expect from you as an athlete? * How many hours of training per week is "too much"? * How many days of training per week is "too much"? * How many hours of training at minimum are you willing to commit to per week? * What is your preferred training structure? * Consistent weekly routine Varied weekly routine Doesn't matter to me! Other If other, please explain: On recovery days, what other activities do you enjoy? Please list at least 2. * Hiking, walking, biking, running, yoga, pilates, swimming, etc. What days do you prefer to rest? * Monday Tuesday Wednesday Thursday Friday Saturday Sunday Do you already have built in workouts in your schedule? If so, when? * Masters swims, run groups, bike rides, etc. Thank you!
