Craving Pavement New Athlete Questionnaire

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All information will be kept confidential. As your coach , it is necessary for me to evaluate some of your health and lifestyle history as well as your present running fitness. Please answer to the best of your ability. Thank you!

First and Last Name *

Age *

Email Address *

Phone Number *

Address *

Current State of Health/Health Risks/Medications *

Any Recent or Ongoing Running Related Injuries *

Emergency Contact (Name & Phone) *

Do you have access to a track? *

How long have you been running? *

How many miles per week have you averaged over the last three months? *

Have you ever done "speed" workouts, interval training or "effort" sessions? *

What day do you prefer your long run? *

Are there any days that you cannot run due to your schedule? *

Are there any day(s) where your time is limited and you would prefer a shorter run?What's the max distance you could run on that day(s)? *

What is the average pace of your "easy" runs? *

Most recent racing results (Include distance, pace/time, and date). *

What current races are you signed up for? Please list name, location, distance and date. *

Please describe a typical training week over the last 4-6 weeks (include the # of miles run each day) and any strength or cross training. *

What is your specific goal in hiring me as a running coach? What do you wish to accomplish by this training? *

Have you been fitted for running shoes? What type of brand and model do you wear? How many miles are on your current pair? *

Do you use a GPS watch (Garmin, etc)? What model? *

If you use Garmin Connect or Strava, what is your username? *

Additional comments, concerns and questions: *

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