Up & Running pre-survey
I'm excited to work with you and help build you into a strong runner. Please fill out this survey to give me an initial picture of your experience and goals. There are no judgments here, so be honest! It will help me make decisions about how to design your training. We will discuss more detail about you at your consultation.
Email address *
Name *
Your answer
Email address *
Your answer
Best telephone # to reach you *
Your answer
City, State of residence *
Your answer
Age *
Your answer
Where did you first hear about Up & Running with Alys? *
What inspired you to want to begin working with Alys / a running coach? *
Your answer
How often do you currently go running/jogging? *
(If you don't run but do other physical activities, you'll have a chance to tell me about that later.)
What, if any, other sports or activities do you currently participate in regularly (at least a few times per month)? *
Required
If you have participated in any running events before, what type and distance?
If you answered yes to any of the above and know your PR (personal record) times, please list them here along with the month & year they occurred. If you can't remember, you can estimate.
E.g., '10k - 50:45, April 2016'
Your answer
Do you have any current or former health issues that I should know about? Are you cleared by a doctor for exercise? *
Your answer
On a scale of 1 to 10, how would you personally rate your current overall physical health? *
Out of shape
Extremely fit
Do you currently have a gym membership? *
I offer different types of training plans for local clients, as well as virtual/remote coaching through an app and phone communication. Which option(s) are you most interested in?
Local: for a typical week, what are the best days and times for you to meet? Remote: when are the best times for a phone call?
Morning
Afternoon
Evening
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
When would you like to get started?
MM
/
DD
/
YYYY
What is your short term and long term running goal? What is a fitness feat you could accomplish that would make you feel proud?
We can discuss further at your consultation :)
Your answer
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