AQ

Dear Athlete,

Congratulations on choosing RTA to design and oversee your training program!

The Athlete Questionnaire is one of the most important forms you will share with your coach, and will allow thorough development of a personalized training program.

Plan on taking ~20-30 minutes to complete the form, and do not hesitate to contact your coach if there is additional information you wish to share.

After completing, please remember to push the "Submit" button at the bottom of this page.

*We recommend NOT using your phone to complete this.

RTA Coached athlete crosses the finish line at Ironman Lake Placid surpassing their goal time.

QUESTIONS

CONTACT INFORMATION:

* Indicates required field

Name *

First

Last

Cell Phone *

Primary Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

How did you find RTA? *

OTHER? *

EMERGENCY CONTACT:

Name *

First

Last

Cell Phone *

Email *

Relation *

MEDICAL:

Birthday *

Gender *

Male Female Non-Binary

HEIGHT *

WEIGHT *

Is your weight higher, lower or around where it should be? *

Resting Heart Rate *

Resting Blood Pressure *

CONDITIONS / CHRONIC DISEASES:

OTHER condition (not listed above)? *

CARDIOVASCULAR:

Are you suffering from a heart Condition (heart attack, angina, irregular beat, hole in heart etc.)? *

Yes No

Do you have a back or joint problem that could be made worse through physical activity? *

Yes No

Are you under medical treatment for any illness? *

Yes No

Do you feel pain in the chest when performing physical activity? *

Yes No

Do you knowingly suffer from Diabetes? *

Yes No

Do you suffer from respiratory Illness (asthma, bronchitis, emphysema) or have shortness of breath with mild exertion? *

Yes No

Do you suffer from high or low Blood Pressure? *

Yes No

Are you taking medication to control your blood pressure or a heart condition? *

Yes No

For Ladies Only: Are you pregnant (or have you had a child in the last 3 months) *

Yes No

LIFESTYLE

Family *

Work *

Hours / Week Exercising (currently) *

Preferred time of day exercising *

Travel *

Access to biking (indoor/outdoor) *

Hobbies *

Access to pools / water *

Amount of vacation / time off *

Access to Running (indoor/outdoor) *

Exercise Schedule / Availability

This section is VERY IMPORTANT as it will allow your coach to create a schedule that fits your life as best as possible.

Use the space below to let us know:

What is your typical daily availability to train EACH day? (Monday - Sunday; Hours / Minutes)

Are there any days you CANNOT swim, bike or run due to your typical schedule (i.e. the pool hours prohibit me from swimming on Sundays).

Do you have a preference for your rest day(s)?

What is your typical daily availability to train each week? *

Anything else we should be aware of? *

Example:

Mon. - 1 hr (45 min max for swim)
Tues. - 1.5 hrs
Wed. - 1 hr (cannot swim)
Thurs. - 1.5
Fri. - 2 hrs
Sat. - 3 hrs
Sun. - 2 hrs

Monday's would be good to have off if possible

DIETARY

Number of Meals / Day *

Calorie intake (if known) *

Modified diet / Restrictions *

Food preferences *

Dietary supplements *

PSYCHOLOGICAL

[ 1 = Poor | 2 = Fair | 3 = Good | 4 = Very Good | 5= Excellent ]

Triathlon History

Date of 1st triathlon completed *

Number of triathlons completed *

Longest distance completed (& WHEN) - what - total time - splits *

Other endurance events *

Goals for this season and beyond *

Athletic History

Other types of exercise / physical activity *

Organized sports (current) *

Types of organized sports (past)? at what level? *

Triathlon & Other Events for the Season

Planned triathlons or other events *

SWIMMING

Years swimming *

Total weekly distance (currently) *

weekly frequency *

longest swim (to date) *

Organized Program? *

Planned workouts *

Swim capability *

limiters *

strengths *

what equipment do you own *

access to pool and open water? *

BIKING

Years biking *

Total (current) weekly distance *

Weekly Frequency *

longest bike (to date) *

Planned workouts *

bike capability (time/distances)? *

limiters? *

strengths *

what equipment do you own *

Access to riding (indoor/outdoor)? *

Do you ride in a group *

RUNNING

Years running *

total (current) weekly distance *

weekly frequency *

Longest run to date *

Planned workouts *

run capability (time/distance/pace) *

limiters *

strengths *

what equipment do you own *

access to running (outside/inside) *

STRENGTH & CONDITIONING

Describe your current strenth and conditioning program if you have one (organized classes, frequency, duraction?) *

What types of equipment do you have access to? *

Does your occupation require extended periods of sitting? *

Does your occupation require extended periods of repetitive movements? (If yes, please explain) *

FINALLY!...

What motivates you? *

CommentWhat are the 3 most important goals in order of importance to you? *

At the end of the season, how will we know if we were successful? What is the single most important thing we must accomplish? *

Submit

RTA Triathlon

RTA is a comprehensive triathlon coaching organization and fully supported USAT sanctioned triathlon club.

We are based in Ridgewood, NJ and coach triathletes of all abilities from across the country.

Our mission is to make you a better triathlete.

Contact us when you're ready to take your "game" to the next level.

ABOUT US

ATHLETE
QUESTIONNAIRE

QUESTIONS

RTA Triathlon

Become a Better Triathlete

Contact Us

Quick Links

Let's get social

ATHLETE​QUESTIONNAIRE

QUESTIONS

RTA Triathlon

Become a Better Triathlete

Contact Us

Quick Links

Let's get social

ATHLETE
QUESTIONNAIRE