Sprint 101 2015 Survey

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* 2. Please list the Sprint race(s) that you have signed up for.

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* 3. What is your current level of fitness in the 3 sports

Swim - Can swim for 60 min

Swim - Can swim for 30 min

Swim - Can swim for 15 min

Bike - Can bike for 60 min

Bike - Can bike for 30 min

Bike - Can bike for 15 min

Run - Can run for 60 min

Run - Can run for 30 min

Run - Can run for 15 min

I have completed one or more triathlon

I have never done a triathlon

Other (please specify)

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* 4. What type of Athlete are you?

Swimmer - Experienced strong swimmer

Swimmer - Swam as a kid but not for many years

Swimmer - Just learning

Bike - Experienced strong biker

Bike - Recreational biker but never entered a race

Bike - Just learning

Run - Experienced strong runner

Run - Recreational runer

Run - Just learning

Other (please comment about your fitness level)

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* 5. How often do you currently exercise?

Swim - 2 or more times a week

Swim - 1 time a week

Swim - Never

Bike - 2 or more a week

Bike - 1 a week

Bike - Never

Run - 2 or more a week

Run - 1 a week

Run - Never

Other (please specify)

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* 6. Please list the days that you want to train on? Eg Swim on Monday

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

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* 7. Are you currently participating in any other classes during the week? If so what type of class, on what day and how long is each class?

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* 8. Do you have any current injures or physical limitations that we should be aware of?

Yes

If Yes please list

	Yes	No
Has your doctor ever said that you have a heart condition and that you should only do physical activity recommended by a doctor? Yes or No?	Has your doctor ever said that you have a heart condition and that you should only do physical activity recommended by a doctor? Yes or No? Yes	Has your doctor ever said that you have a heart condition and that you should only do physical activity recommended by a doctor? Yes or No? No
Do you feel pain in your chest when you do physical activity? Yes or No	Do you feel pain in your chest when you do physical activity? Yes or No Yes	Do you feel pain in your chest when you do physical activity? Yes or No No
In the past month, have you had chest pain when you were not doing physical activity? Yes or No	In the past month, have you had chest pain when you were not doing physical activity? Yes or No Yes	In the past month, have you had chest pain when you were not doing physical activity? Yes or No No
Do you lose your balance because of dizziness or do you ever lose consciousness? Yes or No	Do you lose your balance because of dizziness or do you ever lose consciousness? Yes or No Yes	Do you lose your balance because of dizziness or do you ever lose consciousness? Yes or No No
Do you have a bone or joint problem (for example, back, knee or hip) that could be made worse by a change in your physical activity? Yes or No	Do you have a bone or joint problem (for example, back, knee or hip) that could be made worse by a change in your physical activity? Yes or No Yes	Do you have a bone or joint problem (for example, back, knee or hip) that could be made worse by a change in your physical activity? Yes or No No
Is your doctor currently prescribing drugs (for example, water pills) for your blood pressure or heart condition? Yes or No	Is your doctor currently prescribing drugs (for example, water pills) for your blood pressure or heart condition? Yes or No Yes	Is your doctor currently prescribing drugs (for example, water pills) for your blood pressure or heart condition? Yes or No No
Do you know of any other reason why you should not do physical activity? Yes or No	Do you know of any other reason why you should not do physical activity? Yes or No Yes	Do you know of any other reason why you should not do physical activity? Yes or No No
Is the information you have entered in this questionnaire accurate and true? you should answer YES	Is the information you have entered in this questionnaire accurate and true? you should answer YES Yes	Is the information you have entered in this questionnaire accurate and true? you should answer YES No

Yes

Has your doctor ever said that you have a heart condition and that you should only do physical activity recommended by a doctor? Yes or No?

Has your doctor ever said that you have a heart condition and that you should only do physical activity recommended by a doctor? Yes or No? Yes

Has your doctor ever said that you have a heart condition and that you should only do physical activity recommended by a doctor? Yes or No? No

Do you feel pain in your chest when you do physical activity? Yes or No

Do you feel pain in your chest when you do physical activity? Yes or No Yes

Do you feel pain in your chest when you do physical activity? Yes or No No

In the past month, have you had chest pain when you were not doing physical activity? Yes or No

In the past month, have you had chest pain when you were not doing physical activity? Yes or No Yes

In the past month, have you had chest pain when you were not doing physical activity? Yes or No No

Do you lose your balance because of dizziness or do you ever lose consciousness? Yes or No

Do you lose your balance because of dizziness or do you ever lose consciousness? Yes or No Yes

Do you lose your balance because of dizziness or do you ever lose consciousness? Yes or No No

Do you have a bone or joint problem (for example, back, knee or hip) that could be made worse by a change in your physical activity? Yes or No

Do you have a bone or joint problem (for example, back, knee or hip) that could be made worse by a change in your physical activity? Yes or No Yes

Do you have a bone or joint problem (for example, back, knee or hip) that could be made worse by a change in your physical activity? Yes or No No

Is your doctor currently prescribing drugs (for example, water pills) for your blood pressure or heart condition? Yes or No

Is your doctor currently prescribing drugs (for example, water pills) for your blood pressure or heart condition? Yes or No Yes

Is your doctor currently prescribing drugs (for example, water pills) for your blood pressure or heart condition? Yes or No No

Do you know of any other reason why you should not do physical activity? Yes or No

Do you know of any other reason why you should not do physical activity? Yes or No Yes

Do you know of any other reason why you should not do physical activity? Yes or No No

Is the information you have entered in this questionnaire accurate and true? ** you should answer YES **

Is the information you have entered in this questionnaire accurate and true? ** you should answer YES ** Yes

Is the information you have entered in this questionnaire accurate and true? ** you should answer YES ** No

Sprint 101 2015

Question Title

* 1. Please complete the following

Question Title

* 2. Please list the Sprint race(s) that you have signed up for.

Question Title

* 3. What is your current level of fitness in the 3 sports

Question Title

* 4. What type of Athlete are you?

Question Title

* 5. How often do you currently exercise?

Question Title

* 6. Please list the days that you want to train on? Eg Swim on Monday

Question Title

* 7. Are you currently participating in any other classes during the week? If so what type of class, on what day and how long is each class?

Question Title

* 8. Do you have any current injures or physical limitations that we should be aware of?

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* 9. Training equipment - what are you currently using?

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* 10. Par - Q (please complete the following questions)