Athlete Questionnaire

In order to help plan a program for you, it is necessary to evaluate some of your health and lifestyle history, as well as your present running fitness. Please answer to the best of your ability. Your information will be kept confidential and used only in helping make recommendations for a fitness program.

Name *

First

Last

Email *

Have We Chatted Elsewhere (e.g. Facebook)?

Age

Sex

Height

Weight

Current Health *

Are you currently sick or injured? Describe the problem, when it started and how it is affecting you

Are You Under the Care of a Medical Professional? Are You Cleared to Run? *

Health Risks *

Do you have any chronic illness or health risks (e.g. heart problems, high blood pressure, cancer, stroke, diabetes, allergies, arthritis). Please explain.

Medications *

Do you take any medications? If yes, please give details.

What Are Your Running Interests/Goals? (check all that apply)

Fitness and Fun
Recreational / Social
Training for Multi Sport
Improving Performance
Racing for Awards (overall, age group, Boston qualifying etc)
Returning to Running

How Long Have You Been Running?

Describe Your Current Training Goals – what are you trying to accomplish and by when?

Do You Consider Yourself a Novice or Experienced Runner?

New to Running
Novice
Experienced

What is Your Race Experience?

Never Run A Race
Novice
Experienced

How Many Miles Per Week Do You Average?

How Many Days a Week Do You Run?

How Far Has Your Longest Run Been?

Have You Ever Done “Speed” Workouts, Interval Training, or “Effort" Sessions:

Yes
No

Describe Any Recent or Chronic Running Injuries:

Describe Any Problems with Previous Training or Racing

Running Personal Bests

Please enter the distance, time, and year you ran the race.

Do You Have a Fitness Tracker (e.g. Garmin, Apple watch, Fitbit)?

If yes, which tracker?

Do You Use a Fitness App (e.g. Strava, RunKeeper, Garmin Connect, Final Surge)

If yes, which app(s) do you use?

Do You Cross Train?

e.g. cycling, swimming, yoga, crossfit, obstacle racing (e.g. Spartan)

How Many Times a Week Do You Cross Train?

Which Days of the Week Are You Able to Run and at What Time of Day?

Do You Prefer to Cross Train or Rest on Any Particular Days?

Additional Questions, Comments or Concerns

Phone