Occupation: Brief Job Description:
Any Health Related Problems?

Average hours of sleep per night:

Goals

2002 Goal Race (only one!)
Other 2002 Races:

2001 Races:

Athletic Background

Swimming:

When did you start swimming?
Where do you swim?
Distance to pool from home or work:
How often do you swim?
How many yards/meters do you swim each week?
Do you belong to a Master's swim program? yes no

Best 800 time:(indicate meters or yards)
Best 1500 time:(indicate meters or yards)
Best 2.4 mile time:
Do you have access to:
Pull bouy: Paddles: Kickboard: Zoomers/Fins:

Cycling:

When did you start cycling?
Where do you ride?
Brief description of available cycling routes (distance, terrain, distance from home):

How often do you ride?
How far do you ride each week?
Do you won a windtrainer/computrainer?
Does your bike computer have a cadence feature? yes no
Do you belong to a cycling club?
What bike(s) do you own?
Best 40km/25mile time: Best other times:

Running:

When did you start running?
Where do you run?
Do you belong to a running club?
How often do you run?
How far do you run each week?
Brief description of available running routes(distance, terrain, distance from home):

Best 5km time: Best 10km time:
Half-marathon time: Marathon time:

General Training

Do you own a heart rate monitor? yes no
Do you own a computer interface for your monitor? yes no

Have you had a recent A.T. test done?
Cycling results: Running results:
What is your best Olympic Distance time?
What is your best half Ironman time?
What is your best Ironman time?

What is your typical available time to train per day:

Do you have specific group training that you attend? If yes, what day/time and in what sport.

Any additional comments you would like to add?