TRC/Knoxville Endurance Questionnaire
Email address *
First Name *
Your answer
Last Name *
Your answer
Date of Birth *
xx/xx/xxxx
Your answer
Phone Number *
xxx-xxx-xxxx
Your answer
Street Address *
Your answer
City, State & Zip *
Your answer
Running History
When did you start running? (year)
Your answer
How many years have you been running (any breaks)?
Your answer
Why did you start running?
Your answer
Personal Bests (if applicable)
Mile, 5K, 8K, 10K, 15K, 10mi, Half, Full, Others
Your answer
Other Athletic History
Have you played any sports? Which sports? How long?
Your answer
List anything that can affect exercise:
Asthma, diabetes, thyroid, anemia, arthritis, cancer, etc. Any surgeries
Your answer
Have you had any past injuries or currently recovering from an injury?
injury, dates, previous treatments
Your answer
Time Commitment
How much time per day can you devote to exercise?
Your answer
How many days each week are you willing to train?
Your answer
Shoes
What type of running shoes do you wear?
manufacturer and model
Your answer
Did you complete a gait analysis to be fitted for these shoes?
Future & Goals
What are your long term goals?
Running related or general fitness
Your answer
What are your goals for the next 6 months?
Your answer
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