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EFFICIENT RUNNING PRE-TRAINING QUESTIONNAIRE
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* Indicates required question
DEMOGRAPHICS
When is your training session scheduled?
*
Date format: MM-DD-YY
Your answer
Where is your training session scheduled?
*
Ex: Base, conference, city
Your answer
Which training session are you scheduled to attend?
*
2-3 hour seminar
1 1/2 day course
Web-based modules
Other:
Required
What is your age?
*
Choose
Under 21
21-25
26-30
31-35
36-40
41-45
46-50
Over 50
What is your gender?
*
Choose
Female
Male
Are you now or were you recently part of the Armed Forces?
*
Choose
Yes
No
If you answered yes to the previous question, which component?
*
Choose
Active Duty
Guard
Reserve
N/A
If you are a member of the Armed Forces, does the physical location of your base impact your ability to run?
*
Choose
N/A - Not a military member
No
Yes
If you answered yes to the previous question, what adjustments do you make to decrease the impact on your ability to run?
Your answer
INJURY HISTORY
Have you experienced a running injury in the 6 months prior to training?
*
Choose
No
Yes
Are you currently injured?
*
Choose
No
Yes
If you answered yes to the previous question, how severe would you consider the injury?
*
Choose
N/A - No injury
Pain only after exercise
Pain during exercise - form, distance, and speed unaffected
Pain during exercise - form, distance, or speed restricted
Pain prevented all running
In the 6 months prior to training, how many days did you miss running due to injury?
*
Choose
N/A - no injury
None
1-10
11-20
More than 20
In the 6 months prior to training, did you experience more than 1 injury?
*
If yes, please indicate the total number of injuries
N/A - No injury
No
Yes
Other:
Required
If you were injured in the 6 months prior to training, where was the injury located?
*
N/A - No recent or current injury
Foot
Ankle
Achilles/calf
Shin
Knee
Thigh
Hamstring
Hip/pelvis
Lower back
Other:
Required
RUNNING HISTORY
Why do you run?
*
Select all that apply
To improve or pass the Military Physical Fitness Assessment
Maintain/Improve health
Manage weight
Reduce stress
Social benefits
Enjoyment
Fitness for other sports
Competition
Other:
Required
How many miles per week do you currently walk/run?
*
MPW = Miles Per Week
Choose
10 MPW or less
11-20 MPW
21-30 MPW
31-40 MPW
41-50 MPW
More than 50 MPW
On average, how many days per week do you walk/run?
*
Choose
7 days
At least 5 days
3-5 days
2-3 days
1 day or less
How long have you been running?
*
Choose
Less than 1 year
1-5 years
6-10 years
11-20 years
More than 20 years
I include running as part of my activity/fitness
*
Choose
Year round
Only 1-2 months prior to Fitness Assessment
N/A
How many days per week do you engage in vigorous activity of at least 30 minutes per day?
*
Choose
5 or more
4
3
Less than 3
What type of runner are you?
*
Choose
Not a runner or walker
Walker
Only run to pass Fitness Assessment
Casual - Run a couple days per week when opportunity arises
Recreational - Rarely/never race, but running is high daily priority
Competitive - Race a few times per year
Very Competitive - Race several timer per year
What type of surface do you typically run on?
*
Select all that apply
N/A
Treadmill
Track
Asphalt/Concrete
Grass
Trails/Off-road - Uneven terrain
Required
What type of shoe do you wear?
*
Unsure
Cross trainer
Traditional - Neutral cushioned with elevated heel
Motion control
Level heel to toe, but with some protection
Minimalist/Uncushioned shoe
Barefoot
Other:
What is your perceived exertion and discomfort of running
*
Very easy / Very comfortable
1
2
3
4
5
Very high / Very uncomfortable
When running, how does your foot strike the ground?
*
Choose
Overstride pattern - Slow cadence, heel strike, foot landing out in front
Midfoot - Forefoot pattern landing closer to center (Cadence is close to 180)
Unsure
Have you ever tried to change your running form?
*
Choose
No
Yes
Do you perform other forms of exercise?
*
Select all that apply
Bike
Swim
Walk
Weights
Yoga/Pilates
Cross fit
Other:
Required
What tools, if any, would help you better prepare for the Physical Fitness Assessment?
*
Ex: schedules, videos/materials running form, supplemental exercises, training principles, footwear, etc.
Your answer
Please enter your e-mail address
*
Email address is used only for sending post-training questionnaires - no other use authorized
Your answer
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