Run Coaching Intake Form
Thanks for your interest in running with Jess!
Please complete this form and she will be in touch with you regarding next steps.
Email address *
Name (first, last) *
Your answer
Date of Birth *
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Phone Number *
Your answer
E-Mail *
Your answer
Address *
Your answer
Occupation (Company, Job Title) *
Your answer
Have you worked with a run coach before? *
Why do you want to work with a run coach? *
Your answer
What is your current fitness routine? What days you prefer to run, rest, or cross-train? *
Your answer
What is your history with running? *
Your answer
How many years have you been running? *
What is your highest training volume in miles/week? Did that feel too little? too much? just right? *
Your answer
Please list your race times and distances from the past 12 months. *
Your answer
What are your PR's in: 1 mile, 5K, 10K, 1/2 Mar, Marathon? *
Your answer
What is the most important race for you in the next 6 months? 12 months? Do you have a specific goal? *
Your answer
What tracking devices will you have access to while training? (i.e. garmin watch, apple watch, strava, etc?) *
Your answer
Have you had or do you have any medical conditions or take any medications? *
Your answer
If yes to the question above, have you been cleared by your Doctor to work out? Can you provide a Doctor's clearance note if requested? *
Please describe any significant injuries you've had in the past 6 months. *
Your answer
For runners located in Philadelphia: Would you be interested in additional coaching with Jessica? Training sessions would be located on UPenns or Temple's track and focus on form and speedwork for $45/session.
Lastly, is there any thing else you want Jess to know that could affect your training, or ability to train consistently?
Your answer
A copy of your responses will be emailed to the address you provided.
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