Thanks for signing up for our Personal Online Training program.

You have taken the first step toward becoming the most fit, most accomplished cyclist you can be. In order to design a truly comprehensive and customized training program, I need to get as much information about you as possible. Only then can we begin to construct a unique and personalized training schedule to maximize your time on the bike and get you to your goal as efficiently as possible. It’s a bit lengthy, but we only have to do it once.

 

Let’s begin with the basics.

 

Name:

Address:

Address 2:
City, State, Zip code, Country: 

Phone:

E-mail address

Where did you hear about Everybodysbikecoach.com?Searching the net. Bikejournal.com. Referral from a current EBC athlete. Other.

Coupon Code or Bikejournal username (if applicable)

Date of Birth:

Height:

Weight:

Type of riding you are currently doing?
Mountain
Road
BMX
Other

 

 

What sparked your interest in personal coaching? By this we mean, are you interested in racing and being competitive in a certain category of road or mountain biking? Perhaps you are solely interested in weight loss. Maybe you just want to be the most fit rider possible. Interested in doing long, multi-day touring rides? Feel free to describe your goals here in as much detail as you like.

 

 

History:

How long have you been cycling?

Tell me about your athletic history, i.e. have you played organized sports, or visit a gym regularly?

Do you use or own free weights or other fitness equipment?
Yes
No
 Describe.

 

What is the longest ride you have ever completed?

What type of terrain was it?

 How did you feel after the ride?

 

Have you raced before?
Yes
No
 If so, what class or category?

 

Do you ever ride with a group?
Frequently
Occasionally
Rarely
Never

 

Approximately how many hours per week do you currently ride or train?

 

Are there any specific areas of your riding you want to address such as climbing, sprinting, cornering, or maintaining a faster pace?

 

Do you currently have any injuries or other health conditions that would prohibit you from participating in a structured, often intense training regimen?
Yes
No
If yes, explain:

 

 

EQUIPMENT.

What bicycle or bicycles do your currently own/ride?

 

Has your bike been properly fitted to your current bicycle by a qualified bike shop?
Yes
No

 

Do you currently use or own a heart rate monitor or indoor trainer?
HR monitor
Indoor Trainer

 

Do you use clipless pedals?
Yes
No

 

Tell me about your current time constraints. How many hours per day or per week are available to you for training? What days and what time of day can you devote to your goal?

Here is an example: 
Monday 2 hours after work
Tuesday 3 hours after work.
Wednesday 1 hour in the morning before work.
Thursday 2-4 hours depending on spouses schedule.
Friday 30 minutes in the morning and 45 minutes in the evening.
Saturday 1/2 day in most instances
Sunday 3-4 hours on most Sundays.
(You may have much more or less time than illustrated above. Some programs only require 6-8 hours a week, other 12-18 depending on your goals.)

 

Do you know the date or dates of specific events which you would like to prepare for?
Yes
No

If so, what are these events and dates?

 

Diet:

Do you eat breakfast?
Always
Sometimes
Rarely

Give some examples of your morning meals? (If cereal, be specific).

Lunch?

Dinner?

 

Do you eat fried foods?
Often
Occasionally
Rarely
Never

Do you eat white or wheat bread?
White
Wheat
Neither

What kind of between meal snacks or after dinner treats do you indulge in? (They aren’t all bad).

Do you take energy foods with you on rides?
Yes
No
If so, what are they and how often do you eat per hour of riding?

 

Do you drink soda?
Yes
No
Brand/type of soda

Milk?
Yes, Whole
2%
skim
soy
None
 

How much milk and how often?

 

Water? How often and approximately how much per day?

How much water do you drink per hour on the bike?

 Use this area to give me any other specific information that you would like your coach to know about you. Anything at all. Goals, desires, what you want to get out of your training, who your favorite cyclist is, this is your area. Id like to get to know you.

Thanks for taking the time to answer all the question. When you hit submit, this form will be sent to your coach via e-mail where it will evaluated and a training plan will begin to be formed for you. You should hear back from us within 24 hours or less and we will get started. Congratulations.

If you want to sign up using your Visa or Mastercard, you can use the form below:

16 digit credit card number (use numbers only in this box, example: 4300555599997777 )
Expiration date (example 01 06) Use numbers only in this box.)
Billing address of Card including street and zip code:
Number of months you would like to sign up for at this time (we recommend minimum of 3 to see real results)
Feel free to call us direct if you would rather sign up over the phone. 606-877-BIKE.