Name
Birthdate
Age
Telephone
E-mail
Postal Address
What is your recreational and competitive sport background, and what is your background in swimming, cycling, and running?
How many hours do you have available to train per day?
How many hours do you have available to train per week?
How long is the drive to the pool?
Do you have an indoor trainer?
Do you have a heart rate monitor?
What type of bike and set-up do you have? (i.e. aero, road drops, mtn bike, unusual gearing, "tri-geometry", 650s vs 700s, power meter, etc...,no idea...)
What are your athletic strengths?
What are your athletic weaknesses?
What strengths do you have in life outside of sport?
What weaknesses do you have in life outside of sport?
What qualities do you want in your coach?
What are your goals in sport and beyond - 3 months, 6 months, 1 year, and 2 years out?
List any injury that you have or have had, and any physical/medical limitations to activity and sport?
List any commitments, travel plans, holidays that you have already scheduled
List any races that you have already scheduled, or would like to include in your season
Please use this as an opportunity to share anything else that you think might be valuable for me to know about you at this point

Thank you for your interest and your time. I will contact you within the next two days and we'll hook it up!