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Dr. Jon's Adventures Training Questionnaire
To help us help you and understand your goals, training history, and lifestyle, please take a few minutes to answer the following questions.
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First and Last Name
*
Your answer
Email Address
*
Your answer
Phone Number
*
Your answer
Home Location (City, State)
*
Your answer
Age Group
*
Choose
<= 20 years old
21 - 30 years old
31 - 40 years old
41 - 50 years old
51-60 years old
> 60 years old
Prefer not to answer
Current Aerobic Training Status / Frequency (Cardio)
*
Choose
1-2 days per week
3-4 days per week
5-7 days per week
Current Resistance Training Status / Frequency (Strength Training)
*
Choose
1-2 days per week
3-4 days per week
5-7 days per week
Number of Years of Consistent Aerobic Training
*
Your answer
Current Number of Hours per Week of Training
*
Your answer
Short-term Fitness Goals (within next 6 months; ex: climb a 14er, run an ultramarathon, etc)
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Your answer
Long-term Fitness Goals (6 months to 5 years out; ex: summit Mt. Everest, 7 Summits, Mt. Rainier, etc.)
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Your answer
Self-assessed fitness strengths related to those goals:
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Your answer
Self-assessed fitness weaknesses related to those goals:
*
Your answer
Injury History: Any significant past injuries that affect your ability to train? Please briefly describe
Your answer
Previous Athletic Experience: Please describe sports you've played in the past.
*
Your answer
Have you done focused, consistent training for any past adventures or events (i.e. trained for a marathon)? If so, please describe.
*
Your answer
Have you done previous endurance events, such as climbing a big mountain, finishing a long trek, etc? Please describe what it was and what year.
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Your answer
Describe your typical current exercise / training routine. For example, do you run at an easy pace, bike, strength train, high-intensity intervals, hike, etc?
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Your answer
What aerobic and training activities do you prefer? (Check all that apply).
*
Running
Road Cycling
Mountain Biking
Indoor Cycling
Hiking
Swimming
Stair Climber
Skiing / Snowboarding
Strength Training
Walking
Other:
Required
On average, how many hours per day do you have available to train on weekdays?
*
Your answer
On average, how many hours per day do you have available to train on weekends?
*
Your answer
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