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Welcome to ChiWellnessBeauty.com – Wellness, Health and Beauty.
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Singapore
Telephone Number
+65-93683060
+65-90995572
Email Address
[email protected]
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1. PARTICIPANT’S PARTICULARS
Name:
*
Birthday (mm/dd/yy):
*
Gender:
*
M
F
Marital Status:
Age:
Date:
Address:
Postal Code:
Home Phone:
Cell Phone
*
Email
*
Occupation:
2. FITNESS LEVEL / INJURIES SURVEY
Running Ability:
Time:
How Many Of Years Of Running Experience?
What Is Your Longest Run In The Last 2 Months?
Time:
Olympic Distance Triathlon: (1.5km S/ 40k B/ 10k R)
Time:
70.3 Distance/Half-Ironman Triathlon: (1.9km S/ 90k B/ 21k R)
Time:
Ironman Triathlon: (3.8km S/ 180k B/ 42k R)
Time:
Swim Ability:
Time:
Cycling Ability:
Time:
What Is Your Strongest Triathlon Discipline?
Time:
How many years of experience in Triathlon?
How many years of experience in Swimming?
How many years of experience in Cycling?
Resting Heart Rate (bpm):
Weight (kg):
Height (m):
Maximum heart rate ever recorded during the last one year:
Any coaching program you joined before or currently subscribing to? (If yes, when and what’s the program):
What is your current running issues? (please elaborate in detail):
*
What is your running/triathlon goal in the coming 12 months time (to complete a marathon, IRONMAN, etc)?
Any injuries suffered before / health issues (if there is any) that you like to improve with a holistic practice/active lifestyle approach? Has the injuries healed?
*
3. CURRENT ACTIVE LIFESTYLE TRAINING SURVEY
Total Training Hours For Exercise / Week:
Typical Training Details:
Training Details (Which day train which event, what interval sets, long endurance training distance, etc)
4. TARGET RACE EVENT DETAILS FOR CUSTOMISED TRAINING PLAN
Customized/Personalized Training Plan (Target Event Details):
Which event/race:
When is the event/race:
Where is the event/race:
Target/objectives of joining the event/race with a Customised Training:
5. HOLISTIC HEALTH AND SUPPLEMENTS/NUTRITION SURVERY
Chi Wellness is the official distributor of NEFFUL Negative Ion Bedding and Clothing. NEFFUL fabric generates negative ions by friction between clothing and/or skin. It is made in Japan.
Do you know negative ions is good for human health? For general health benefits of negative ions, see this link-
https://chiwellnessbeauty.com//about-nefful/negative-ion-benefits
NEFFUL introduction -
https://youtu.be/gNFzA0RV_yA
Would you be interested to find out more about NEFFUL Clothing, Bedding and Supports for holistic health?
Supplement you currently use for sports training/recovery/health/wellness. How long you have used it?
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