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Custom Training Plan Questionnaire

eNRG Performance Endurance Coach

Bob Seebohar

Julie Lyons

John Baker

Marco Hintz

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Email Address

Phone number

(###)

###

####

Date of birth

Height

Weight

Occupation

Hours worked per week

What is your athletic background?

When and what is your primary competition that you want us to prepare you for?

When do you want your plan to begin?

What are your goals for this event?

How many weeks do you want your plan to be?

Do you prefer to train by duration (time) or distance?

What technology do you use in training (i.e.-GPS, power meter, heart rate monitor, etc.)?

List each day of the week and the number of minutes/hours you can realistically devote to training.

Which day of the week would you like a rest day? If it does not matter, please specify this.

In the last 2 months, what has been your longest swim?

In the last 2 months, what has been your longest bike ride?

In the last 2 months, what has been your longest run?

Do you currently participate in a strength training program? If so, let us know a little about it.

Do you prefer us to incorporate a general strength training program into your plan or should we leave that to you?

Do you swim in a 25 or 50 yard/meter pool?

Do you use an indoor bike trainer? If yes, is it power based?

Do you run on a treadmill or prefer the outdoors?

What type of terrain do you have access to for cycling and running?

Do you train with any groups? If so, let us know if you would like us to include this in your plan (and the respective days and mode of training)?

Do you have a Training Peaks account?

Yes

Do you have any current or past injuries? If so, please tell us about them.

Is there anything else you would like to share?

I understand that I am asking eNRG Performance to design a custom training program and will not hold them legally responsible for any injuries that I may incur while following this program. I waive my rights to pursue any legal actions against eNRG Performance and their coaches.