Pre - Couch to 5km Health Questionnaire
There are many health benefits to running, but, on the flip side, it's a fact that running can cause injuries as well. On the whole, we believe that the overall health benefits of an active lifestyle outweigh the risk of injury during running exercise. This health questionnaire is designed to monitor your overall health and that of any injuries you may have or develop as you start your fitness journey and develop your healthier lifestyle.
It should take no longer than 5 minutes to complete.
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What is your age?
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How healthy do you feel right now? 
Extremely unhealthy
Extremely healthy
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Why do you want to start running? (please state your motivations and/or any goals you may have).
When was the last time you exercised that worked up a sweat for > 20 minutes?
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Over the last year, how often have you exercised for more than 20 minutes? 
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When was the last time you went for a run? 
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What other exercise / activity (if any) do you do on a regular basis?
How motivated are you to start the Couch to 5K?
Not at all
Extremely
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Have you attempted the couch to 5K plan before?
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If you answered Yes to the above question, please provide some detail on your overall experience of this? (Positive / negative / any injuries sustained / your impression of the plan etc.)
Do you currently have any injuries that may be aggravated by running?
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If you answered YES or Maybe to the previous question, how much does the injury impact your ability to run? 
It does not effect my ability to run
I am unable to run
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How often do you experience muscular / joint pain in daily life?
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What activities exacerbate your pain?
How much pain do you feel when you run?
No pain
Worst pain ever!
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What body part(s) hurts when you run?
How long are you running for before you notice your pain?
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How long does your pain usually take to settle down again?
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