Paratriathlon Introductory Questionnaire

Thank you for your interest in Paratriathlon. Please fill out this questionnaire to help us get to know you and your goals better.

* 1. What is your full name (first and last name)?

* 2. Where do you currently reside (city/state)?

* 3. Phone Numbers

* 4. Email Address

* 5. Date of Birth

* 6. Gender

* 7. Are you currently, or have been in the past, a member of the United States Armed Forces?

* 8. Describe your disability.

* 9. To the best of your knowledge, what Paratriathlon category do you believe you would fit into?

* 10. Have you been classified in another Paralympic Sport?

* 11. Have you ever completed a triathlon?

* 12. What other sports have you competed in since your injury or impairment?

* 13. Name your current triathlon coach.

* 14. How much time are you dedicated to training per week for triathlon?

* 15. What are your short term Paratriathlon goals?

* 16. What are your long term Paratriathlon goals?

* 17. Do you have your own Paratriathlon equipment (wetsuit, bike/handcycle, race chair, etc)?

* 18. Are you currently competing competitively in any other Paralympic Sport?

* 19. Why do you want to race in Paratriathlons?

* 20. Would you like to be added to the monthly USA Paratriathlon newsletters?