CDC - Carpe Diem Coaching by Bowen

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What's Involved

Online Questionnaire

To get started, please complete the following questionnaire. This will help Bart create your program based on your goals and past training history. He will contact you to get you on your way.

Complete the following to get started

First Name:
Last Name:
Email Address:
Address:
Suite, etc.:
City:
State:
Zip:
Country:
Home Phone:
Work or Cell:
Fax:

Which number should you be called	Home Work/Cell
Best times to reach you:
How do you wish to receive workouts?	US Mail Email
Ocupation:
Hours Worked Weekly:	hrs
Married:	Yes No
Children:	Yes No
Date of Birth (mm/dd/yyyy):		Age:	Years
Weight:	lbs	Height:	Inches

Do you commute to work and if so, how long and often?
How long have you been riding?
How long have you been racing and at what level are you currently competing?
Have you had a coach before?	Yes No
If yes, who?
Do you keep a training log?	Yes No
Do you or have you lifted weights for cycling?	Yes No
Waking Pulse:	beats per minute (bpm)
Do you train with a heartrate monitor?	Yes No
If you train with a heart rate, what is your max HR and what is your perceived threshold?	Max:	Threshold:

	What is your training week like now? TYPE, HOW LONG, INTENSITY
Monday:
Tuesday:
Wednessday:
Thursday:
Friday:
Saturday:
Sunday:
Is your current schedule:
What is your longest ride in the last 3 weeks?	hours
How many weekly hours do you have available to train?	hours
Which day is best for you to take off from training?
What would you say your strengths on the bike are?
What would you say your weaknesses are?
What are your goals for this season?
Do you have rollers and/or indoor trainer?	Yes No
How much sleep do you get on average each night?	hrs
What is your favorite race?
What is the most memorable time you have experienced on your bike?
After completing all of the questions above, click submit.