Home
Bio
Philosophy
Programs & Rates
Individual
Small Group
Rates
Questionnaire
Beginning Runners
Current Runners
Testimonials
Contact
Home
Bio
Philosophy
Programs & Rates
Individual
Small Group
Rates
Questionnaire
Beginning Runners
Current Runners
Testimonials
Contact
Beginning Runners
Beginning Runner Questionnaire
Name
*
First Name
Last Name
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!
Thank you!
