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Peak To Peak Training Systems
Office: 303.798.5924
Mobile: 303.902.9603
info@peaktopeaktraining.com
"The benefits of having knowledgeable, objective, detailed coaching cannot be understated. Peak to Peak kicks Ass."
Chris Fisher
Professional Cyclist
Athlete Information Form
Name:
Address:
City:
State:
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Age:
Height:
Weight:
Occupation:
Hours Worked Per Week:
Marital Status:
Spouse:
Do you have a specific P2P preference for your coach?
What do you consider to be your strengths as a cyclist or runner? Please explain:
What do you consider to be your weaknesses as a cyclist or runner? Please explain:
Do you know your maximum heart rate? Highest value seen within the last year:
Do you know your heart rate at threshold?
Do you know your power (watts) at threshold?
How did you determine these threshold values?
Have you ever had your % of body fat tested? What is it?
Average Heart rate while riding a century or group ride or while running?
Goals:
What are your training goals for the upcoming season?
What would you like to accomplish by using Peak to Peak Training Systems?
List in the order of priority the reasons you ride a bike or run.
How long have you been riding bikes or running as a hobby or sport?
What are your estimated weekly hours or miles that you trained last year?
Spring hours:
Summer hours:
Fall hours:
Winter hours:
What is the longest week you have ever ridden or ran?
How many hours do you have available to train each week?
Have you or do you weight train?
Are there any group rides, training rides or training runs in your area that you attend?
Are the group rides, training rides, or training runs seasonal?
Please list your daily schedule so we can arrange your training around your needs.
List anything else you would like your coach to know about you.
Equipment:
What bikes do you own?
Mtb:
Cross:
Road:
Track:
Please list equipment that you have (heart rate monitor, power meter, mag trainer, rollers, xc skis, snowshoes, etc).
What other sports do you participate in regularly?
Medical History:
Please list your medical history (injuries, surgeries or pertinent information that might influence your exercise prescription):
Have you had a physical within the last year by a licensed physician?
No
Yes
Have you been cleared to participate in exercise prescription?
No
Yes
Have you or anyone in your family had heart disease?
No
Yes
Do you ever have chest, shoulder, and neck or arm pains after exercise?
No
Yes
Have you ever fainted, felt dizzy or unusually winded after exercise?
No
Yes
Has a Doctor said that your blood pressure is too high or uncontrolled?
No
Yes
Has your Doctor ever said you have had a heart attack, heart murmur, or that you have heart troubles?
No
Yes
Are you diabetic?
No
Yes
Do you have a thyroid condition?
No
Yes
Are you using any medications? Please list:
Do you have high cholesterol?
No
Yes
Do you have any conditions that your Doctor has said will limit your exercise?
No
Yes
Have you ever smoked?
No
Yes
If you have smoked when did you quit?
List any surgeries you have undergone:
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