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.

What is your full name (first and last name)?

Question Title

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

Where do you currently reside (city/state)?

Question Title

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

Phone Numbers

Question Title

* 3. Phone Numbers

Email Address

Question Title

* 4. Email Address

Date of Birth

Question Title

* 5. Date of Birth

Gender

Question Title

* 6. Gender

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

Question Title

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

Describe your disability.

Question Title

* 8. Describe your disability.

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

Question Title

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

Have you been classified in another Paralympic Sport?

Question Title

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

Have you ever completed a triathlon?

Question Title

* 11. Have you ever completed a triathlon?

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

Question Title

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

Name your current triathlon coach.

Question Title

* 13. Name your current triathlon coach.

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

Question Title

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

What are your short term Paratriathlon goals?

Question Title

* 15. What are your short term Paratriathlon goals?

What are your long term Paratriathlon goals?

Question Title

* 16. What are your long term Paratriathlon goals?

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

Question Title

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

Are you currently competing competitively in any other Paralympic Sport?

Question Title

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

Why do you want to race in Paratriathlons?

Question Title

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

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

Question Title

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

T