Email Address

Age

Location

Goals

What are some of the goals that you have achieved thus far in running, general exercise and/or health?

What are your goals for the next 4-6 months?

What are your goals for the next 1-2 years?

Exercise History

Have you participated in organized sports? List type of sport and approximate dates of participation.

In the past year, have you done any type of cardio exercise on a regular basis? List type of exercise (e.g. running, walking, cycling, swimming, elliptical, etc.), number of workouts per week or per month, and average duration of workout.

In the past year, have you done any type of strength, flexibility, and/or balance training? List type of exercise (e.g. weight lifting, yoga, pilates, boot camp, etc.), number of workouts per week or per month, and average duration of workout.

Health History

Do you have any past or present injuries that may affect your training? Include date of injury, treatment, and present condition of each injury.

Do you have any other relevant health conditions or concerns?

Starting Point

Describe your exercise schedule over the past six weeks, including type(s) of exercise, number of workouts per week and approximate length of workouts. If you’ve been taking a breather and are ready to start anew, that’s fine too!

Beginning Runners

Beginning Runner Questionnaire