Part 1: Athletic Form:
*  required to complete (thank you)
1. List your favorite sports and years
of participation.
Sport Years Comments?
2. Do you currently have a strength
training routine? If yes, please
describe (machines or free weights,
days per week, sets, reps, resistance,
etc)
*
3. Have you ever had an
exercise-related injury which caused
you to stop exercising?
*
4. List your best race results.

Events & Dates: Results:
Part 2: Current Athletic Information:
1. What are your three most important
goals for the season? Please rank
them 1-2-3.
*
2. At the completion of our first season
together, how will we know if we were
successful? What is the single most
important thing we must accomplish?
*
3. List your past week’s training schedule:
Day?
Type of workout?
Duration?
Intensity?  (low-med-high)
*
4. Is the past week’s training low,
normal or high for you?
*
5. What is your longest workout in the
last three weeks? duration  
type
*
6. How many weekly hours do you
have available to train? Be realistic
*
7. What time of day do you expect to
do most of your training during the
week? Weekends?
*
8. Which is the best day for you to
take off from training?
*
9. Do you have a bike trainer or
stationary bike?
type
No:
Yes
10. Do you have a cycle computer with
a cadence function?   
Yes:
No:
Yes:
No:
11. Do you have access to a track?  
Yes:
No:
12. Do you run with a running club?    
No:
Yes
13. Do you ever train with a group?
What sports?
No:
14. Do you have access to a pool?
What size?
Yes
15. Do you have access to a master’s
swimming program?        
Yes:
No:
16. Approximately how many miles or
hours did your train in the past 12
months for each activity (estimate)?
(SWIM? BIKE? RUN? STRENGTH TRAINING?
No:
Yes
17. Do you own a heart rate monitor?   
Brand?
18. How familiar are you with heart
rate monitors? not; familiar;
somewhat; familiar; very; familiar?
Please explain?
*
No:
19. Do you own a Computrainer or
other power meter device?
If you have a power meter, what kind?
Yes
20. What is the highest heart rate you
have observed during exercise and
during which sport?
21. Do you know your lactate
threshold heart rate for any sport?

If so, please list and describe how it
was determined.
Swim? Bike? Run?
No:
Yes
Part 3: Diet:
1. What exactly did you eat yesterday?

Breakfast? Lunch? Dinner? Snacks?
*
2. Do you take any vitamins or
supplements? Please List?
*
3. How many times per day do you eat?
Are you on any special diet? Are you happy
w/your present Diet? Please explain?
*
4. Do you feel you need some
assistance w/your Diet? Please
explain?
*
By checking the box below, You have read and agree to Pates Running & Racing/The
Training Effect's
Waiver and Release Agreement Form, which constitutes "a writing
signed by You" under any applicable law or regulation.
I agree to terms of the Waiver and Release Agreement Form
Parent auhorization for minor to participate in Pates Running
& Racing and/or The Training Effect Programs.
Thank you for taking the time to complete this questionnaire! Please note that all the information you provide is
confidential and protected and we will never sell, barter, rent, or give out any contact information to anyone. We keep all
information to ourselves.  We respect your privacy and do not share your information with anyone, no one, nada, zilch!
Athlete Questionnaire
Pates Running and Racing
TRAIN with CONFIDENCE, RUN INJURY-FREE and RACE FASTER!
P
Team