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Contact Jeff
 
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Date of Birth: 
Height (inches): 
Age: 
Current Weight (pounds): 
Optimum Racing Weight: 
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Your Email *
Your Name *
What was your athletic background prior to triathlon?: 
How many years have you competed in triathlon?: 
How many triathlons have you completed?: 
What is your greatest athletic achievement?: 
What were your three best results in triathlon?: 
Of the three triathlon disciplines (swim, bike, run) what do you consider your best and worst?: 
Which triathlon distances are your best and worst (Sprint, Olympic, Half Ironman, Ironman)?: 
What is your PR for the 5K, 10K, Half Marathon and Marathon and date of each?: 
What is your PR for the 100-yard free, and 1650 yard free (or accurate 1500 Mtr swim)?: 
How many years have you been cycling? Do you have any Time Trial results on the bike?: 
How many hours do you realistically have per day and per week to train?: 
What do you do in the real world (to support your training habit)?: 
How many hours per day/per week does your job require?: 
How flexible are your work hours?: 
Are you married, in a serious relationship, any children? How supportive is your home environment for training and racing?: 
What is your training environment like? Weather, hills, flats, etc. Do you have training partners, adequate venues for cycling, running, and access to a pool, Master’s swimming?: 
In the last 4 weeks how many times have you swum, bike and run. Average totals in each per week?: 
Recalling your best consecutive 4 weeks last year same questions as above.: 
What injuries have you had in the past? What limitations, if any, do injuries currently cause you?: 
What is your primary training and racing goal this season?: 
What is your training and racing goal next year?: 
Why do you think you need a coach? What do you want me to do for you?: 
What other factors impact on your ability to train and race? Anything else I need to know?: 

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