Athlete Profile Application

The Athlete Profile Application is a very important document that allows Strive Coaches to assess your current fitness levels, equipment, medical limitations, race goals and available time. All these factors are key to developing a plan that is customized for you. Time is your most valuable resource and unless accurately accounted for by day it will affect your consistency and impact your fitness gains. Please take the time to accurately and completely fill out the form.

Once you've completed the form below, please remember that the liablity waiver must be signed and returned. Signed waivers should be emailed to info@strivempowered2succeed.com before services can be rendered.

READ CAREFULLY: THIS AGREEMENT INCLUDES A RELEASE OF LIABILITY AND WAIVER OF LEGAL RIGHTS AND DEPRIVES YOU OF THE RIGHT TO SUE RAFA INC. and STRIVE. DO NOT SIGN THIS AGREEMENT UNLESS YOU HAVE READ IT IN ITS ENTIRETY. SEEK THE ADVICE OF LEGAL COUNSEL IF YOU ARE UNSURE OF ITS EFFECT.

Download Waiver

Please complete all required fields!

Background Information:

Full Name:(*)

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E-Mail Address:(*)

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Street Address:(*)

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City:(*)

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State:(*)

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Zip Code:(*)

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Phone Number(*)

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Birth Date:(*)

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Age:(*)

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Gender(*)

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Height:(*)

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Weight:(*)

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Emergency Contact Information:

Emergency Contact Name:(*)

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Emergency Contact Phone #:(*)

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Current Fitness Assessment & Fitness Planning Guidelines:

Describe your current training week including frequency, time (duration) and type of exercise. For example: I run 3 times a week for a total of 10-15 miles. My longest training run is 10 miles. (*)

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Describe your longest single workout in the last four weeks (i.e. bike ride, endurance run): (*)

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How many total hours per week do you have available for training Monday through Sunday? Please list exactly when and how much time you have available for training. I cannot emphasize how important it is that this information is accurate as this is the basis of YOUR schedule. (*)

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What day would you prefer your longest workout of the week to be scheduled on?(*)

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Identify at least 1 day a week you want off for family or recovery purposes:(*)

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List previous races completed in the last year:(*)

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When did you start consistent physical activity?(*)

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Medical History:

Please list any medications, vitamins & supplements that might affect your training or performance:(*)

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Are you allergic to any medications?(*)

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Please list the medications you are allergic to:(*)

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Please list any current or past illness, injuries, surgeries or other medical problem that could affect your training and performance. This could include things like heart conditions, stress fractures, knee or shoulder injuries etc.

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Do you visit a chiropractor?(*)

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Do you get regular massages?(*)

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Do you stretch?(*)

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Do you do Yoga?(*)

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Any special medical needs or information the coach should be aware of?

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Has a doctor ever said that you have a heart condition and recommended only medically supervised physical activity?(*)

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Please Explain Below:(*)

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Do you have chest pain brought on by physical activity?(*)

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Please Explain Below:(*)

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Have you ever lost consciousness or fell over as a result of dizziness?(*)

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Please Explain Below:(*)

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Do you have a bone or joint problem that could be aggravated by physical activity?(*)

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Please Explain Below:(*)

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Has a doctor recommended medication for high blood pressure or a heart condition?(*)

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Please Explain Below:(*)

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Are you aware, through your own experience or a doctor’s advice, of any other physical reasons against your exercising without medical supervision?(*)

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Please Explain Below:(*)

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Racing and Performance Goals:

List all of the events you plan on competing in this year. I understand this schedule is subject to change (in fact, I may suggest you change it). Please notify me if this schedule does change. Please mark your “high priority” events with an (A) – these are your most important events of the racing season. Only designate a few events as “high priority” as we will design your training schedule to taper and peak for them.(*)

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What are your goals for this season (be specific)? (*)

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Equipment and Other Information:

Do you own a heart rate monitor? (*)

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What brand & model? (*)

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Do you own a power meter?(*)

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What brand & model?(*)

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Please check off the equipment that you own:(*)

Triathlon BikeRoad Bike Indoor Cycling Trainer Bike ComputerRun WatchMultisport Watch Hand PaddlesSwim FinsSnorkelSwim BuoyKick BoardNone Of The Above Invalid Input

Please check what you have access or available to you?(*)

Running TrackTreadmill25 Yard Lap Pool50 Meter Lap PoolGymNone Of The Above Invalid Input

Personal Records:

5K - Personal Best

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10K - Personal Best

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13.1 - Personal Best

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26.2 - Personal Best

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Olympic - Personal Best

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70.3 - Personal Best

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140.6 - Personal Best

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Other - Personal Best

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Package Selection:

Which Package are you most interested in?(*)

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Which Single Sport Are You Interested in?(*)

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Select A Training Plan(*)

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The success of your training plan is directly dependent on your ability to do the workouts as prescribed, log your data into Training Peaks in a timely manner, communicate with me in a meaningful way, ask questions if you don’t understand a workout, respect your recovery and set realistic training and racing goals.

By clicking the submit button below you’re acknowledging that you understand the statement above, and that the information entered within this form is accurate to the best of your knowledge. In addition, you are giving consent for a Strive Coach to contact you about your training needs and discuss confidential pricing information for the plans available to you. As each persons needs are different, we encourage you not to share our fees with the understanding that we do not offer a one size fits all pricing structure, and sharing this information can lead to confusion with potential clients. We appreciate your understanding.

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Athlete Profile Application

Background Information:

Emergency Contact Information:

Current Fitness Assessment & Fitness Planning Guidelines:

Medical History:

Racing and Performance Goals:

Equipment and Other Information:

Personal Records:

Package Selection: