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Name
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Email
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What best describes your riding?
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Recreational cyclist
Competitive racing cyclist
Zwift or online recreational cyclist
Triathlete/ironman or other sports athlete
None of the above
What are your cycling goals?
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What is the greatest issue you are facing with your cycling right now?
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On a scale of 1 to 10, 10 being really important, how important is it for you to have a major breakthrough with your cycling?
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10 - Extremely important
9
8 - Important
7
6
5 - Somewhat important
4
3 - Not very important
2
1 - Not important
If you are accepted, how soon can you get started?
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Immediately
Within the next two weeks
Within in the next four weeks
Within in the next six months
Do you have the financial resources available to invest in yourself and your cycle coaching?
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Yes
No
Are you interested in any of these?
Bunch Riding Skills
Yes
No
Cornering and Descending Skills
Yes
No
Weight Loss And Nutrition
Yes
No
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