Resolute Running Coaching Questionnaire
In order to help us plan a fitness/athletic program for you, it is necessary to evaluate some of your health and lifestyle history and practices as well as your present state of fitness. The questions need to be answered to the best of your ability. The information gathered will be used in making recommendations for your program. Your individual data will be kept confidential.
Sign in to Google to save your progress. Learn more
Date: *
MM
/
DD
/
YYYY
Have you read and agree to the RR Consent and Release agreement? *
How did you hear about Resolute Running? *
Name *
Age: *
Sex *
Address: *
Phone: *
Email *
Height: *
Weight: *
% Body Fat (If known)
Resting Heart Rate (HR) (If known)
Maximum Heart Rate (MHR) (If known)
Medications: *
Current state of health: *
If currently sick or injured, describe difficulty and date of onset: *
Health risks (i.e. family history, chronic disease, etc.) *
Recent running injuries: (Please include date) *
How long have you been running? *
Highest number of miles you have run in one week? *
Do you run with a sports watch? (Garmin, Suunto, etc.) *
If yes, do you have a Strava account? *
Previous exercise or competitive history: *
Race experience: *
Current Racing: (List races in last six months) *
Personal Bests: (List your best performance in each distance raced) *
Running interests: *
Required
List your running and racing goals. (Include future races, dates, goal times, etc.) *
Why are you seeking personal coaching? *
Describe your most recent 4 weeks of training in detail. List the miles or time spent running, your pace or heart rate, the surface or terrain, and any supplemental or additional training (weights, stretching, cycling, swimming, aerobics, etc.) ---Example - Mon., 4 mi. @ 9:00 pace, 30 minute weight workout. *
What is your shirt size? 
Clear selection
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms