Training Questionnaire

Step 1 of 5

20%

Contact Details

Name(Required)

First Last

Email(Required)

Phone(Required)

Age(Required)

Dancing School(Required)

Dancing Level (Open / Preliminary)(Required)

Recent Placement at Oireachtas / Major(Required)

Goal

What is your current no.1 goal for S&C training? Pick the one that’s most important to you.(Required)

Stronger

Jump Higher

Faster

Get Fitter

Flexibility

Posture

Turnout

Explain your choice in more detail(Required)

What is the no.1 thing holding you back from it?(Required)

Training

Briefly tell me about your training (home / gym) over the past year to support your Irish dance performance?(Required)

Method of Training

How do you plan to train? Please select the option that best applies by clicking the box and marking it as “checked”:(Required)

1-to-1 coaching (in-person at gym)

Online coaching

At home (following a programme)

Home Equipment (if applicable) If you plan to train at home, please list the equipment you have available. Include weights where relevant (e.g., dumbbells, kettlebells, resistance bands, etc.). If you intend training at a gym, you can skip this section.(Required)

Health

List any injuries past or present. Please include as much detail regarding injury:(Required)

List any medication your child is currently taking:(Required)

List any health conditions your child has:(Required)

Is there any known reason why any type of physical activity may not be suitable for your child?(Required)

Disclaimer

I the parent/ guardian of the aforementioned child give permission for him/her to participate in The Irish Dance Coach online sessions and understand that The Irish Dance Coach cannot be liable for any loss or personal injury to my child.

Parent/guardian’s signature(Required)

First Last

Date

MM slash DD slash YYYY