Athlete Questionnaire

All information will be kept confidential. As your coach , it is necessary for me to evaluate some of your health and lifestyle history as well as your present running fitness. Please fill out answer to the best of your ability when you are ready to let me be your running coach as there is payment at the end.

Thank you and Happy Running!

Name *

First

Last

Checkboxes *

• Male
• Female

Age *

Height *

Email *

Phone Number *

Mailing Address *

Emergency Contact (Name and Phone)

Current State of Health

Medication (if none, please list "none")

If currently sick or injured, describe difficulty and date of onset:

Current physical activities and weekly frequency (swimming, boot camp, etc) outside of running - include both Strength Training & Cross Training

Running Interest (check all that apply) *

• Fitness and Fun
• Recreational or Social Racing
• Training for multi-sport
• Racing for Improved Performance
• Racing for Awards (overall, age group, Boston Qualifying, etc)

How long have you been running? *

Have you been fitted for running shoes? What type of brand and model do you wear? How many miles are on your current pair?

Do you use a GPS watch (Garmin, etc)?

If you use Garmin and/or Strava, what's your Garmin Connect and/or Strava username?

Would you consider yourself a novice, intermediate or experienced runner? *

• Novice
• Intermediate
• Advanced

Running Race Experience *

• None
• Novice
• Intermediate
• Experienced

How many miles PER WEEK have you averaged over the past 3 months? *

What is the average pace of your "easy" runs? *

What is the average pace of your "long" runs? *

Do you usually run outside or on the treadmill?

Do you have access to a track?

Have you ever done "speed" workouts, interval training or "effort" sessions?

• Yes
• No

Comments and Details regarding your speed training:

Please describe a typical training week over the last 4-6 weeks (include the # of miles run each day) and any strength or cross training.

Please list each day of the week (Mon-Sun) and list exercise details beside each.

What day do you prefer your long run, Saturday or Sunday?

• Saturday
• Sunday

Are there any days that you cannot run due to your schedule?

Are there any day(s) where your time is limited and you would prefer a shorter run? What's the max distance you could run on that day(s)?

Describe any problem with previous training or racing:

Recent or chronic running injuries:

Most recent racing results (Include distance, pace/time, and date)

What current races are you signed up for? Please list name, location, distance and date

Describe your current training goals - what are you trying to accomplish and by when? *

Have you ever worked with a running coach before? Please describe your experience.

What is your specific goal in hiring me as a running coach? What do you wish to accomplish by this training?

How do you feel regarding your overall knowledge of sports nutrition and what type of help are you seeking?

Additional comments, concerns and questions:

How did you hear about Running with Roses?

What Type of Training are you Looking for?Custom Training Plan - 5k/10kCustom Training Plan - Half/Full MarathonPremium Monthly Coaching Plan

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