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Personalised Kenyan Style Online Training Enrollment Form
Information provided will be treated with confidentiality and used for training programme by Lukas and his training administrator only.
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* Indicates required question
First Name | Last Name
*
Your answer
Your Email Address
*
Your answer
Your Mobile Phone Number
*
Your answer
What is your best personal record (hh:mm, XXkm)? Pleas state 5km, 10km, 21km and 42km
Your answer
What target result are you training for (hh/mm)?
*
Your answer
How long have you been seriously running
*
0-3 years
4-9 years
10+ years
Other:
How many kilometers a week do you train now?
Your answer
What is your experience in running? Please list 3 races/training that you joined in the last 24 months.
Your answer
When is your next race time?
MM
/
DD
/
YYYY
When would like like to start ( Month-Date) ?
*
Your answer
Which of below areas do you want to achieve in your training ( please state prioritisation)?
*
1st
2nd
3rd
4th
5th
Weight Loss
Improve Pace
Improve Endurance
Improve Posture
Tips in Marathon Race
1st
2nd
3rd
4th
5th
Weight Loss
Improve Pace
Improve Endurance
Improve Posture
Tips in Marathon Race
I want to achieve below but not listed above
Your answer
Please state your medical records by checking below boxes ( tick = yes)
*
Has a family member, under 60, suffered from heart disease, stroke, raised cholesterol or sudden death?
Are you a male over 35 or female over 45 and NOT used to regular vigorous exercise?
Are you on any prescribed medication?
Have you been hospitalized recently?
Do you smoke?
Do you consumer alcohol weekly?
Do you have a joint problem that might be aggravated by exercise?
Have you received physician's advice not to exercise?
Other:
Required
Do you have skeletal injuries history?
*
Back
Neck
Head
Knee (right)
Knee (left)
Ankle (right)
Ankle (left)
Others
Other:
What is your age?
*
Your answer
What is your gender?
*
Male
Female
How tall are you (cm)?
*
Your answer
What is your body weight (kg)?
*
Your answer
Which city do you reside?
*
Your answer
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