Consultation Questionnaire 
All questions must be answered before submitting the questionnaire; please just write no or N/A if they do not apply to you.  None of the information you provide will be shared with anyone else.  This is for my ability to assess your goals and get in communication with you.  
Email *
Full Name (First and Last) *
What is your age?  *
This will not be a determining factor for if we work together; this just helps me to accurately coach you. 
Where are you located (City, State)? *
Phone number (Mobile) *
Email Address *
Do you prefer to be contacted by email, text or either? 
(If we work together both emails and texts will be utilized, as well as Zoom or FaceTime calls.  This question is for general preferences.)  
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What is your primary running goal?

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Do you have any secondary goals?

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What is your running/race experience?

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Do you consider yourself a novice or experienced runner? *

What amount of running do you want to/are willing to run per week (number of days)?

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What is the longest distance you have completed? When was that?

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What is your current physical activity or exercise level?

A. Limited/low (once or twice a week 30 minutes or less)

B. Moderate (2-4 times a week 30-60 minutes)

C. High (4+ days a week 60 minutes or more)

Please describe what you are doing during your activity/exercise times (i.e. running, walking, strength training, yoga, etc.)?

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Have you done any "speed workouts" or "effort sessions" previously in your training?  *

Have you had any running injuries or other injuries (acute or chronic)? If so, what are they?

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Are there any important medical concerns that I should be aware of that could impact your training? (i.e. Autoimmune disorder, diabetes, heart conditions, high or low blood pressure, asthma, exercise induced asthma, etc.) Please list below.

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Have you had a physical with a medical doctor within the last two years? Were there any significant findings that could alter your training that you haven't listed above?  

If you have had significant findings I will need your primary care physician to sign off on your training before we start. We can discuss this more in the Zoom/FaceTime chat.

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What other important aspects of your life do you think I should know about that might impact your training?  (ex. Kids, job, upcoming vacations, etc.)

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Have you ever worked with a coach before? If you have, what did you like and dislike about their coaching style?

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Do you prefer to run/walk or run straight through? If you are not sure, that is okay; just mark unsure below. 

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Have you ever meditated? Would you like to incorporate meditation and breath-work into your training?

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How often would you prefer check-ins?

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Would you like shout-outs on Instagram/Rise and Run Podcast race report (if you listen and participate in the race report) when you have training accomplishments or complete a race? *
If you said yes to wanting shout out's on Instagram please include your IG handle below.  If you said no to the above question you can leave this one blank. 
Do you use Strava?  *

Is there anything else you would like me to know?

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How did you hear about my run coaching business?  *
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