Client Intake Form
Fill this form out to the best of your ability with as much detail as possible. Thanks!
Email address *
First and Last Name *
Your answer
Target Race(s) *
Your answer
Goal for the race(s) *
Your answer
Date you'd like to start coaching *
MM
/
DD
/
YYYY
What motivates you to achieve your goal? *
Your answer
What are your expectations of me as your coach? *
Your answer
What is your previous running history? *
Why do you run? What distances have you done in the past? Have you run your goal race distance before?
Your answer
Have you been injured in the past 2 years? If so, what was treatment like? Have you been cleared to start a training program? *
Your answer
How many miles can you currently run non-stop in a single run? *
Your answer
What is your currently weekly mileage? *
Your answer
What other fitness activities are you currently doing? *
(examples include: yoga, weight-lifting, cycling, etc)
Your answer
Do you have access to a treadmill, bike, pool? *
(examples include: yoga, weight-lifting, cycling, etc)
Your answer
Availability for training Monday-Sunday: *
Please include AM, Mid-day and PM availability for each day of the week. Ex: Monday AM: 5:30-8am, Mid-day 0 hours, PM: 6pm-8pm. ------ (I know this may change, but it'll give me a good starting point)
Your answer
Does your schedule vary or is it fairly consistent? *
(I know this may change, but it'll give me a good starting point)
Your answer
Preferred day and method (in-person, phone, email) for us to have our 30-minute check in about training? *
Your answer
Name your top three running related strengths & weaknesses. *
ex. Strengths: Endurance, high pain tolerance, no orthopedic injuries.... Weaknesses: Bad at pacing, eat too much, poor running gait
Your answer
What aspect of running/racing are you most intimidated by (if any)? *
Your answer
How important is structure in your life on a scale of 1-10? Can't use 7. *
Your answer
How confident are you in your abilities as a runner on a scale of 1-10? Can't use 7. *
Your answer
How much do you look forward to hard training sessions? Scale of 1-10, can't use 7. *
Your answer
How susceptible are you to mental burnout? Scale of 1-10, can't use 7. *
Your answer
Anything else you think it's important for me to know? *
Your answer
A copy of your responses will be emailed to the address you provided.
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