Orientation Interview Personal Information First Name Last Name Phone #1 () Phone #2 () Fax () Email Street Address City State Zip Date of Birth - Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec   - 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31   (ex. 1965) Occupation Marital Status How did you hear about ecoachjoe.com? Physiological History VO2 max Max Heart Rate: How was this information determined? Were these tests performed in a lab setting & if so, which lab? Max Heart Rate: Running   Biking   Swimming **Max Heart Rates need to be within the last 6 months.** Wkly. mileage for: Running   Biking   Swimming Resting Heart Rate Height Weight Training History What is your multi sport experience & how long? Running Biking Swimming Do you currently race bicycles?   Yes  No What competitive events do you compete in most often?   If you don't compete in competitive events, do you take part in organized sport activities? If so, which activities?   What competitive events have you participated in within the last 6 months?   Estimate the number of events that you participated in last year?    Estimate the number of events that you will participate in during the next 6 months:   Estimate the number of century rides that you expect to participate in during the next 6 months:   Estimate your weekly hours trained last year:   Estimate your weekly hours that you can currently train for this program:    Estimate the maximum amount of time that you will be able to dedicate to this program:   Do you or have you participated in a weight training program?    Yes  No What are your running, cycling & swimming strengths?    What are your running, cycling & swimming weaknesses? Have you ever had a coach or trained with a group before?    Yes  No Coach's name or program?   Will you be participating in any races during your training program?    Yes  No If so, what are the events and the dates?   How often do you want to participate in events during your training program?   Do you participate in club workouts?    Yes  No If so, what groups and how often? Describe the intensity and duration of your group workouts: Do you prefer working out in a group or working out alone?   Group  Alone Why do you participate in races or competitive events? Sporting Equipment What type of bike(s) do you own? Do you currently own racing wheels, shoes, equipment, etc.? Please list all: Do you currently own a heart rate monitor?   Yes  No Do you currently take supplements? If so, what kind(s)?   Yes  No Do you currently drink sports drinks before & after training & races? If so, what types?    Yes  No What brand of energy bar & gels do you use? Which sporting magazines do you get your information from? Personal Goals What are your personal competitive goals for the next 6-12 months? List in priority with dates & locations if known. What are your training/fitness (improvements in performance) goals for the next 6-12 months? List in priority. Do you have more immediate goals that you would like to reach within the next 8 weeks? What do you think that you can do physically to help you reach these goals? Will (or does) your partner and/or parents support your goals?    Yes  No  N/A What sacrifices are you willing to make to reach your goals? Any other information you want your coach to know: