CYCLING INTAKE FORM Name * First Name Last Name Email * Phone (###) ### #### List any medications Date of last physical Age? Time to train each week? List your A, B and C goals Indoor Trainer? Brand? Power meter on outdoor bike? What is your head unit? What day off? Would you prefer to have Monday or Sunday completely off? How did you hear of us? Message * Save 10% on Thorne Nutritional Products? Coach Lee is an affiliate with Thorne. When it comes to supplements, recipe is key and Coach Lee believes that Thorne is one of the finest supplement companies in the world. https://www.thorne.com/ Yes No Thank you!