Cycling Athlete Questionnaire
Full Name *
(First Name Last Name)
Your answer
Phone Number *
Your answer
E-mail Address *
Your answer
Address *
Mailing Address
Your answer
Country *
Your answer
Where did you hear about B78 Coaching?/ Who referred you? *
Your answer
Would you like to receive our monthly newsletter & others news such as events?
Date of Birth (M/D/Y)
Your answer
Height & Weight
Your answer
Emergency Contact and Phone Number *
Your answer
Biking Jersey Size
Biking Shorts Size
Short Term (This Year) Intermediate Term (Next 2 Years) and Long Term (Next 4 years) GOALS
Your answer
A Races- Most Important (up to 2)
Your answer
B Races- Important but can train through (up to 4)
Your answer
C Races- Least Important, used for training (unlimited)
Your answer
Number of years you have been cycling?
Your answer
Do you have any background in Biking, Running, Swimming?
Please elaborate.
Your answer
Which discipline of cycling are you training for?
What event(s) and specific distance are you training for?
If Grand Fondo or 'Other' please specify.
Your answer
If you are currently competing as a cyclist what category are you in?
Is one of your goals to move up categories?
Your answer
Of the three disciplines, which do you consider your weakest?
Of the three disciplines, which do you consider your strongest?
What aspect of cycling do you feel you need to improve the most in order to reach your goals?
Climbing, Sprinting, Time Training, riding in a group, drafting, bike handling skills.
Your answer
How many years have you been doing some kind of structured sport?
Your answer
Do you have a background in any sport and if so, which one(s)?
Your answer
How many days per week do you currently ride?
Your answer
How many hours per week do you currently ride?
Your answer
What is the longest ride you have done in the last 6 weeks?
Your answer
Do you ever ride with a group?
Your answer
Are you comfortable riding in groups?
Your answer
If you have access to and enjoy riding with a group, what days do they train?
Please identify what days are best for long sessions (+3 hours)
Off or Group
Typical Weekly Schedule Days of the week (briefly describe your commitments on each day independent of training)
Please write out Monday thru Sunday
Your answer
What is the average number of hours you currently train during the week?
Include all other activities.
Your answer
How many hours can you commit to training?
Your answer
Do you use your bike for daily activities like commuting to work or running errands?
Your answer
Can you do any cross training for cycling?
Your answer
Do you do any of the following during any times of the year?
Please list your top 5 race results.
If available.
Your answer
Have you had a comprehensive bike fit done?
Specify who with.
Your answer
Do you regularly stretch?
Your answer
Do you regularly do any core exercises?
Your answer
Are you currently injured in any way? If so, please explain.
Your answer
Do you have any chronic problems or health concerns? If so, please explain.
Your answer
Have you ever had a stress fracture or an impact stress injury ? If so, please explain.
Your answer
Do you have any medical issues that may interfere with you training/racing? If so, please explain.
Your answer
Do you have experience lifting weights?
Your answer
Are you currently working with a strength-training specialist?
Do you have access to a good weight room?
Do you see a massage therapist/physiotherapist/chiropractor on a regular basis?
Your answer
What forms of recovery, if any, are you currently implementing into your training/routine?
Your answer
Do you have any allergies? If so, please explain.
Your answer
Are you a vegetarian? Do you have any food allergies or foods that you avoid for any reason? Do you drink coffee?
Your answer
Briefly describe your general eating habits. Would you consider yourself a healthy eater, a moderate balanced eater (bit of everything), or a poor eater (crave and eat "junk food" frequently)?
Your answer
Please identify the bikes you have access to for training Road Bike, Winter/Training Road Bike, Time Trial Bike, Cyclocross Bike, Mtn Bike, Fixed Gear Bike.
Your answer
What shoes do you use to ride with? Road Biking Shoes, Triathlon Shoes,Mtn Bike Shoes, Normal Running Shoes.
Your answer
Do you have a heart rate monitor? If so, what kind?
Your answer
Do you have a Power Meter? If so, what kind?
Your answer
Have you ever had a lactate threshold test, VO2 max test, Aerobic Capacity test, step test or any kind of aerobic fitness testing?
If so, when was your last test and do you have a copy of the results?
Your answer
Do you know the following values: Bike Threshold, Wattage and Heart Rate?
Your answer
Do you have threshold numbers for any other type of aerobic sport?
Your answer
Do you have experience with any online log and training programs (Final Surge)? Are you willing to keep an online logbook of your day-to-day activities?
Your answer
Please provide your social media user names/handles.
Your answer
Please provide any additional information you feel may be relevant.
Your answer
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