2023 Athlete History Questionnaire
Please read thoroughly and fill out all required fields and sign. 
Sign in to Google to save your progress. Learn more
Athlete's First Name *
Athlete's Last Name *
Primary Email Address *
Primary Phone Number *
Street Address *
City *
State/Province *
Postal/Zip Code *
Date of Birth *
Height *
Weight *
Resting Heart Rate *
Resting Blood Pressure *
List any Medical Conditions / Chronic Conditions you have *
List of Medications you take *
List of Allergies *
Any Injuries or Surgeries you want me to be aware of? *
Have you played any coached sports? Please elaborate. *
Have you had a triathlon coach before? If yes, please elaborate the reason the relationship ended. *
Please list below any triathlon race(s) you have done and if possible, include your finishing time. *
How often do you swim and for how long each time? *
Do you own a wetsuit and an open water swim buoy? *
Are you comfortable with open water swimming? If not, please explain your challenges. *
Do you own a triathlon watch? If yes, which one do you have? *
Do you own a bike? If so, which type? *
Are you comfortable clipping in and out of your bike? *
Do you own a smart trainer? i.e. Wahoo Kickr *
Are you comfortable in the aero position? *
How often do you ride? How long are each session for both indoor and outdoor rides? *
How often do you run? For how long? *
Do you own a treadmill or have access to one? *
Do you own any form of strength training equipment or have access to some? Please list them. *
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy