2013 TTC CANDIDATE QUESTIONNAIRE

All answers will remain confidential




Personal   Emergency Contact  
       
Name: A value is required. Name: A value is required.
Home Phone: Invalid format.A value is required. (999) 999-9999 Relationship:
Cell Phone: Invalid format.A value is required.(999) 999-9999 Address: A value is required.
Mailing Address A value is required. Home Phone: Invalid format.A value is required. (999) 999-9999
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Date of Birth: A value is required. Mailing Address:
    Date of Birth
    Preferred Contact #:
    Email Address: Invalid format.A value is required.
Medical and Health    
Have you ever suffered from any medical ailments? Such as Heart Attack, stroke, emphysema, obesity, diabetes, asthma, fibromyalgia, arthritis, chronic back pain, tuberculosis, or other?
Do you have a family history of any of the above medical ailments? Please list all that apply.  
Currently, are you taking any medication?
Do you have any food allergies?
Do you have any other information you would like to disclose so we may support you?
Exposure      

Why have you considered Tranter Triathlon Coaching?

How did you first learn about Tranter Triathlon Coaching?

Why have you considered Rob Tranter as your Coach? 

Have you ever participated in an exercise program before?

Have you ever completed a training program of 6 consecutive months?

Have you ever participated in a race or an event?  

Did you complete any one or more of the above events in the last 12 months?

Do you have any interest in participating in any of the above events?  Which ones?

What is/are your preferred sport(s) to build your fitness?

Injury History  

Do you currently have any injuries, aches, pains or physically limiting ailments?

What previous injuries have affected your training and/or health?  

Have you ever been treated by a registered chiropractor, physiotherapist, massage therapist or athletic trainer?

Holistic Health History  

Do you incorporate any form of strength training in your lifestyle?

Do you incorporate any form of static stretching before or after exercise?

Do you incorporate dynamic stretching and/or neuro-muscular activation prior to training or racing (hopping, bounding, limb swinging, accelerations, wind sprints, jumping etc.)?

Do you incorporate any psychological skills training, meditation or mindfulness practice in your lifestyle?

Do you have any specific education in the sport/health sciences?

On a scale from 1 – 5 (1= poor, 5= optimal) how would you rate your daily eating habits?

Where could your eating habits improve?  Please select all that apply:

Options: portion control, limiting salt or sugar intake, timing of meals, increasing fruits and/or vegetable portions, increasing vegetable protein (beans, legumes, nuts/seeds etc), increasing lean meats and eggs, increasing clear fluids, increasing dairy products, increasing whole grains, other.
     
ATHLETIC TRAINING QUESTIONS
Current Training    

How many weekly training hours do you consistently plan to complete?
less than 3      3 – 6      6 – 9      9 – 12    12 – 15       over 15

How many weekly training hours do you currently complete?
less than 3      3 – 6      6 – 9      9 – 12    12 – 15       over 15

On a scale from 1 – 5 (1 = poor, 5 = optimal), how would you rate your time management?

What time of day do you prefer to exercise?

What is the best day in your schedule for intense (short duration) exercise
What is the best day in your schedule for long duration (low intensity) exercise?
Training History    

Please indicate the largest volume (total accumulated hours) training week you have completed in the last year.

less than 3      3 – 6       6 – 9       9 – 12       12 – 15      over 15

Please indicate the largest volume (total accumulated hours) training week you have completed in the last month.

less than 3      3 – 6       6 – 9       9 – 12       12 – 15      over 15

Do you try to evenly distribute your total training hours across several sports?

Do you vary the proportion of sport specific training depending on time management, the season and/or work/family commitments?

Have you or a coach/trainer ever used T.S.S. (training stress score) to quantify stress in your lifestyle and training?

Have you ever been videotaped under water to help assess your swim stroke?

Have you ever been professionally fit on your current bike?

What has been your longest run in the past 3 months?
5 – 9k     10 – 15k     16 – 21k       22 – 30k      over 30k

What has been your longest bike in the past 3 months?
20 – 40k     41 – 60k     61 – 80k       81 – 100k      over 100k

Goals for 2013    

Short-term (3 months or less)
1)
2)
3)

Long-term (over 3 months)
1)
2)
3)

   

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"As part of Tranter Triathlon Coaching, we overcome adversity to provide us with
proof that we are capable of achieving beyond our perceived limits"
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