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Athlete Questionnaire
All information will be kept confidential. As your coach, it is necessary for me to evaluate some of your health and lifestyle history as well as your present running fitness. Please answer to the best of your ability. Thank you!
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Email
*
Your email
First and Last name
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Your answer
Email address
*
Your answer
Phone Number
*
Your answer
Mailing Address
*
Your answer
Emergency Contact (Name and Phone)
*
Your answer
Age
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Your answer
Gender
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Female
Male
Required
Height
*
Your answer
Weight
*
Your answer
Are you happy with this weight?
Your answer
Current state of health
Your answer
Medications (if none, please list "none"
*
Your answer
Health Risks (Family history, chronic disease, etc)
Your answer
If currently sick or injured, describe difficulty and date of onset:
Your answer
Running Interest (check all that apply)
*
Fitness and Fun
Recreational or Social Racing
Training for multi-sport
Racing for Improved Performance
Racing for Awards (overall, age group, Boston Qualifying, etc)
Required
Current physical activities and weekly frequency (swimming, cycling, yoga, lifting, etc) outside of running and/or describe what a typical week looks like for you.
*
Your answer
Do you have a gym membership?
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Yes
No
Yes, and it has classes, too
I attend fitness classes
Other:
Required
Recent or chronic running injuries:
Your answer
Describe your current training goals - what are you trying to accomplish and by when?
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Your answer
How long have you been running?
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Your answer
Would you consider yourself a novice or experienced runner?
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Novice
Experienced
Have you been fitted for running shoes? If so, what brand/model and how many miles do they have on them?
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Your answer
What brand/model running watch do you use?
Your answer
Running Racing Experience
*
novice
middle of the road
experienced
How many miles per week have you averaged over the past 3 months?
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Your answer
Have you ever done "speed" workouts, interval training or "effort" sessions?
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Yes
No
Required
Comments and details regarding your speed work:
Your answer
What are your current avg paces for easy runs, long runs and speed work?
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Your answer
Running Personal Records (Please list all applicable: Mile, 5k, 10k, half marathon, marathon, etc) and list TIME/YEAR
Your answer
Most recent racing results (Include distance, pace/time, and date)
*
Your answer
Describe any problem with previous training or racing:
Your answer
What upcoming races are you signed up for? Please list date and distance.
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Your answer
Have you worked with a running coach before? What did you like/dislike about your training?
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Your answer
What's your knowledge on sports nutrition and are you seeking help in this area?
Your answer
How did you hear about us?
*
Your answer
Additional comments or concerns
Your answer
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