Date Of Birth
Weight current (kg)
Weight in racing (in-form)
Number of race / event days last year
Date of last race / event
Date you plan to return to training after break
Coming race / event program as you know it
Family situation: (if applicable)
Emergency Contact (Name & Number)
Parents Name/s and contact phone number
Special events that you have coming up: (weddings, exam dates, holidays)
Hobbies: (other than cycling:)
Are you in full / part time study / Work?
Current health status
Current medical concerns
Do you have any issues that you are "just dealing with"? (knee, hip, back, etc)
Doctor contact (only team doctors)
Were you happy with your season?
What worked? - (Training)
What didn't work?
What was your hardest part of the season?
What was the best part of the season?
What were the results / performances you were most proud of?
What do you think you can improve upon?
How are you with positioning in the peloton / group?
What is your greatest strength on the bike?
Do you tend to perform naturally better in some months during the season? If yes, when?
Do you have a current set threshold value?
Do you have a current set of HR Zones?
Do you have a current set of Power Zones?
Do you prefer to train with HR or power?
2 year goal(s): (Try to list 3)
5 year goal(s): (Try to list 3)
Have you worked with a trainer/coach in the past?
Who & When?
Did they provide you with weekly, bi-monthly, or monthly reports?
Can you provide your TrainingPeaks account? **Username:
Do you have files sitting on current or old computers?
What head unit do you use (Garmin / SRM etc)
How many Powermeters (cranks) do you have at home?
Have you worked with a sports phycologist (mental coach)? Who? When?
What did you work on?
What recovery techniques do you currently prefer?
Do you do a weight program (gym) in the off-season?
Do you work with a trainer (in the gym) or on your own?
Do you currently have a "core" strength program?
Do you maintain your core strength during the season?
Is there anything that you need, but don't have at home to do your job better?
Would you consider yourself "sensitive" to slight differences in bike position?
Are you happy with your position or do you constantly change or "tinker"?
Have you used a bike fit system in the past to help with your bike/cleat position? (Retül, BG-Fit, Mapei,etc)
Have you done position testing on the track?
Have you recently been in a wind tunnel?
How many pairs per year do you use?
How do you insure they are all exactly the same?
Do you use insoles or orthotics?
If yes, are they in good condition?
What saddle are you currently using?
Do you have / have you had any mental or emotional issues?
Do you feel confident in rides / races?
What are your fears (if any):
Do you have any overpowering thoughts during training or racing?
Do you have a positive attitude with yourself and others?
Do you try to live in the present, or do you often think of the past or future?
Past / Future
Do you try to take success out of every failure?
Do you have proper "life/work" balance?
On the fence
Are you good at making decisions?
Do you tend to second guess your decisions?
Anything else you want to add?