Name
*
First Name
Last Name
Email
*
Phone
(###)
###
####
Date of Birth
MM
DD
YYYY
Gender
Male
Female
Non-binary
Prefer not to say
How would you describe yourself?
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Novice Runner (new to running, participate in fun runs, runs occasionally but not consistently, etc.)
Experienced Runner (participate in races, run consistently at some point in the past, etc.)
Competitive Runner (belong to a running team/club, compete in races, etc.)
In the past 2 months, on average, how often do you run?
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I don't currently run at all
1-2 days per week
3-4 days per week
5-6 days per week
I run every day
What is your current weekly mileage?
What is the most you've ever run in one week (highest weekly mileage)?
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What is the longest run you have ever completed (in miles)? When did you complete this distance?
*
Have you ever had any running related injuries? If yes, please explain.
*
Is there anything else I should know about your current health/fitness?
*
Why are you interested in working with a coach?
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I want to get faster and achieve a PR in a specific race
I want a coach to hold me accountable
I want a coach to help me build a training plan
I am new to running and need help getting startedI am new to running and need help getting started
I want a coach to help me avoid getting injured during training
What is your goal race (distance)?
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Have you run this (race) distance before?
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Yes
No
When is your goal race?
MM
DD
YYYY
What is your motivation for running this race?
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What do you want to achieve in this race?
I just want to finish strong and injury free, my time is not super important to me
I want to achieve a PR
I want to achieve a specific time
Briefly describe your current exercise routine? (Ex: I run on Mondays and Wednesdays, like to do Yoga on Thursdays when I have time, and do not exercise on Sundays)
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Do you have any scheduling constraints when it comes to training? (Ex: days of the week that you cannot train, planned trips/vacations, other life demands, etc.)
*
Which days of the week do you prefer to run?
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Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
What day of the week would you like to do your longest training run?
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Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Is there anything else I should know?