3433 Customized Coaching Intake Form

Full Name: *

Address: *

City: *

Province: *

Postal Code: *

Phone Number: *

Email: *

Sport: *

Personal Goals & Objectives: *

What are you expectations of our Customized Coaching services? *

When would you like to start training? *

Based on your previous competitive season (or historically), what do you feel you need to improve on to become a better athlete and achieve your goals? *

Describe what your perfect race would be like: *

Have you followed a structured training program before? If so, please describe it: *

Please outline your current training program or routine:

Monday: *

Tuesday: *

Wednesday: *

Thursday: *

Friday: *

Saturday: *

Sunday: *

Describe any resistance training you have done in the last 3 months: *

List any limitations or restrictions you have that could influence your training program. Examples: work, travel, getting married, expecting a baby, family, etc)

Are there any days of the week you can not or will not train? If so, please list them: *

How much time can you commit to regular training for each day of the week? Please list each day and amount of hours per day. *

Total training hours per week you can commit to: *

Describe any injuries you currently have and any previous injuries that have limited your training/performance: *

Describe what you feel are your strengths and weaknesses and/or areas you wish to improve on (physical, mental, nutritional, etc): *

List your upcoming season events/dates in order of priority: *

Check off any of the following pieces of training equipment you have:

Heart Rate Monitors:

Polar Heart Rate Monitor

Suunto Hear Rate Monitor

Garmin Heart Rate Monitor

Global Positioning System (GPS):

Garmin

Polar

Suunto

Timex

Do you have a TrainingPeaks account? *

Yes

Additional Comments:

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Repsol Sport Centre

2225 MacLeod Trail South,
Calgary, Alberta T2G 5B6
403.233.8393
info@repsolsport.com

Hours of Operation

Monday to Friday: 5am - 10pm
Saturday: 6am - 9pm
Sunday: 7am - 9pm
Statutory Holidays: 7am - 6pm

There are no Group Fitness or Registered Classes
on statutory holidays.

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Repsol Sport Centre

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