To apply for your personal training program please complete the form below with your information. Multisport Consultants will then contact you regarding your enquiry.

Personal Details Full Name: Age: Date of Birth: Sex: Male Female Height: (CM) Weight: (KG) Contact Phone Number: Mobile Phone: Fax Number: Email Address: Street Address: City/Suburb: State: Country: Postcode: Job Description: Training Information Which sport or sports are you wishing to train for? Triathlon Swimming Running Cycling Hours per week available to train? 1 - 5 Hours 5 - 10 Hours 10 - 15 Hours 15 - 20 Hours 20 - 25 Hours 25 - 30 Hours How long have you been competing in triathlon/multisport?   (Years) Other sports trained for/competed in prior to triathlon?   Level Acheived? Select Recreational Club Regional State National Intenational Race distances targeting for the season?   Select Sprint Olympic Half Ironman Ironman What are your specific goals for the season ahead?   If you have one discipline which is a stand out weakness, which is it and why do you think that it is?   Best Triathlon/performance acheived to date?   Best individual performances in Swim/Bike/Run? For example: Best swim time 400m in the pool = 6 minutes Best 40 Km bike time trial = 55 mins Best Run time 10Km = 32 mins Resting Heart Rate (only enter if known, please do not enter 220 bpm minus your age)   Maximum Heart Rate? Swim   Bike   Run Do you use a heart rate monitor when training? Yes Which Brand of monitor? Do you keep a training log of relevant raining information? Yes How many days a week do you currently train?   Select 1 2 3 4 5 6 7 Swim   Select 1 2 3 4 5 6 7 Bike   Select 1 2 3 4 5 6 7 Run Do you swim with a squad? Yes Do you have or use a windtrainer/computrainer? Yes Do you live in a hilly region? Yes What has been your longest Run? What has been your longest Ride? Do you regularly stretch or do yoga/Pilates? Yes Do you do any specific strength training? Yes   Please list strength training briefly.. Please outline below a current typical weeks training program: For example: Monday am: bike 20 km hard effort Monday pm: 5km swim in pool Injury problems, past or present problem areas/treatment received?   Please list? Which vitamins/supplements or medications are you taking?   Please list How would you rate your general health?   Please enter your general health and feelings How many hours do you sleep on average each night?   Select 1 Hour 2 Hours 3 Hours 4 Hours 5 Hours 6 Hours 7 Hours 8 Hours 9 Hours 10 Hours Please list any health concerns that you may have that you think that we may need to know of.   Please enter information here. Do you use any sports drink formulas whilst excercising? Yes Which Brand? Do you use orthotics in your shoes whilst running? Yes Which brand of running shoes do you use?   Have you been correctly setup on your bike by someone with experience for the correct bike position setup for triathletes? Yes Do you have any questions/further comment? Please enter questions/comments here... Please tick check box below if you have read and agree to our website privacy policy/indemnity. .> Click here to view information Yes, I agree to multisportconsultants website indemnity/privacy policy