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First AND Last Name
Current State or Country of Residence
Current Activity Level
Sedendtary (no activity)
Slightly Active (light cardio/aerobic 3-4 days per week)
Moderately Active (cardio/weights 4-5 days per week)
Very Active (vigorous activity 5+ days per week)
What Are You Currently Training For?
Not Currently Training
Please list your most current (within 18 most) PR's:
If Applicable, Please List Upcoming Races, Distances and Dates
If applicable, what goal(s) do you have for your upcoming race(s)?
Other than race specific, what additional goals do you have (get stronger, lose weight, increase lean muscle, post rehab an injury, etc.)?
Do You Have a Gym Membership/Access to Gym Equipment?
What Is Your Experience With Strength Training?
Are You Currently Following a Run Training Plan?
What Is Your Experience Working With a Coach/Trainer?
I have worked with a run coach and/or trainer in the past
I am currently working with a run coach and/or trainer
What Type of Programming Are You Looking For?
Basic programming that is mostly self guided
Personalized programming with some guidance and support
Customized strength programming with accountability, guidance and support
Other Than Running, What Other Forms of Exercise Do You Enjoy (swimming, biking, weightlifting, yoga, Crossfit, etc)?
Do you have any of the following conditions/risk factors? (Check all that apply)
Asthma/Breathing Issues other than seasonal allergies
Current or Recent Injury (please explain below)
If you checked yes to current or recent injury, please explain in further detail...
Any additional information you would like to provide...
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