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Intake Form Elise Swim Coaching Triathlon
Welcome and thank you for choosing lessons with me! This form helps me understand your swimming experience and goals, so I can adapt the lessons to you and make sure you can start in the correct group.
1. Personal
information
Full name
*
Age
*
Nationality
*
Languages spoken
*
Phone number
*
NIF
*
2. Swimming experience
How would you describe your current swimming level?
*
How would you describe your current swimming level?
A
Complete beginner
B
Can swim breaststroke but not crawl
C
Can swim crawl, but want to improve technique
D
Swim regulary and want to train smarter
E
Triathlete looking to refine crawl
What are your goals? (select all that apply)
*
What are your goals? (select all that apply)
Other:
3. First impression
What are your expectations for the lesson(s)?
*
What would make the session(s) a success for you?
*
Which tools would be helpful for you?
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Which tools would be helpful for you?
A
Video analysis under and above the water
B
Practice exercises to do alone
C
Personal follow up after each session
D
An online meeting to discuss progress and/or ask questions
Other suggestions of tools that would help you:
Do you have any medical condition I should be aware of?
*
Additional comments or special needs:
4. Practical agreements
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4. Practical agreements
I agree that the programs are booked as a full course with fixed dates. Payement is required in advance to secure your spot. If the minimum number of 3 participants is not reached, the course will be postponed or refunded
Thank you for filling in this form! I will be in touch shortly to finalize the payment and share all the details.
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