New Running Athlete Intake Form

Please fill out the following form.

First name

Last name

Date of birth

Month

Day

Year

Have you been hospitalized in the last 12 months?

Yes

Are you suffering from a medical condition, illness or injury?

Yes

If you answered yes to any of the questions above, please supply additional information.

What is your everyday life like (work/kids/school/other hobbies/commitments)?

What are your goals related to running?

Is there a recurring day and time you would like to schedule for a monthly video or phone call? If you don’t want every month please indicate a frequency that would work for you (you can change this anytime in the future).

Broadly, what is your general athletic history?

Tell me specifically about your running history. How did you find the sport, how long have you done it, etc.

What does your typical training week look like? What would you like it to look like?

How many days per week do you want to run? How many days per week do you want for rest? How many days for cross training?

Which day of the week is best for your long run? If you work a typical M-F schedule, is Saturday or Sunday best for you?

Any other scheduling notes (i.e. do you travel often, does your schedule change season to season)?

How competitive would you describe yourself as?

What are your weaknesses as a runner (technical terrain, climbing, descending, nutrition, hydration, mental, motivation, heat, pacing, etc.)?

What are your strengths as a runner (technical terrain, climbing, descending, nutrition, hydration, mental, motivation, heat, pacing, etc.)?

Describe some things that went well and failure points from previous races.

Have you worked with a coach before? If so, what did you enjoy and what did you wish was different?

Do you do any cross training (cycling, swimming, yoga, etc.)?

Do you have experience doing “speed work” and how do you feel about it?

Tell me about any past or current injuries.

Do you have any medical concerns or conditions I should know about?

Are you on any medications currently that I should be aware of?

Do you adhere to a specific diet (vegan, gluten free, etc.)?

If applicable, do you feel your menstrual cycle impacts your training?

If applicable, do you track your cycle?

What are your short-term goals?

What are your long-term goals?

Do you have any personal goals such as a better diet, sleep, stress, etc.?

Are you currently signed up for any races?

Is there anything else I should know about you?

Initials

I declare that the info I’ve provided is accurate and complete.

I have read and agreed to the Terms and Conditions, and Privacy Policy.