Apex Performance Running, LLC / Coach Christopher Patterson - Athlete/Client Profile
In order to help plan/match you with a proper training program, it is necessary to evaluate some of your health and lifestyle history, as well as your present fitness level. Please answer these questions to the best of your ability. Your information will be kept confidential and used only in helping to create your training program.

Privacy Note: The information you provide in this form will be kept strictly confidential and will not be shared in any way by Apex Performance Running, LLC.
E-mail Address *
Name *
Cell Phone Number (only if you are interested in communicating via text message or phone)
Current Location (City, State) *
Age *
Gender *
Height (in feet/inches) *
Current Weight (in lbs) *
Emergency Contact (Name and Phone Number) *
What are your current training goals? What are you trying to accomplish by having a customized training plan? *
What are some things that you are looking for in a Coach? (e.g., provide me with ideas of how best I can help you be successful as a runner) *
What are some things that you are NOT looking for in a Coach? (e.g., give me ideas of things that you don't think will help that you may know from a past experience with a coach) *
Which days of the week are you available to train? This gives the coach an idea for which days to make your workouts. *
Required
What day would you like your "running week" to start on? (this determines how your weekly mileage is calculated in the training plan) *
What are some things about your weekly schedule that the coach should know about? For example, are you taking any classes? Do you have to attend sports games for your kids on certain days of the week? Are there weekly runs or routines that you would like to maintain? Do you prefer mornings/afternoons/evenings? Please be as specific as possible. *
How much free time (on average) do you have to dedicate to training on a given day? *
What is/are your goal race(s) in the next 6-12 months? Please include the name of the race(s), the location(s), and the date(s). *
Are there any other events during the training cycle that you would like to participate in? If so, please include the name of the race(s), the location(s), and the date(s). *
How do you currently keep track of your training? (e.g., Strava, Training Peaks, Garmin Connect, Paper Running Log, etc.) *
Are you familiar with heart-rate based training? If so, what are your thoughts? Are you interested in making it a part of your training plan? Are you not interested? *
Have you ever had your running form evaluated? *
Running Interest (check all that apply) *
Required
How long have you been running? *
What type of runner would you consider yourself? *
What is your running race experience? *
Have you ever done "speed" workouts, "interval" sessions, or "effort" sessions"? *
Which of the following are conveniently available to you for training? (please only check the items that you are willing/able to incorporate into a training program) *
Required
How many miles per week have you averaged over the past three months? *
Have you followed any mainstream (or not so mainstream) training programs in the past (such as Hal Hilgdon, Pfitzinger and Douglas, etc.)? If so, what did you like or what didn't you like about the program(s)? *
Please describe any recent or chronic running injuries. *
What has been your longest single run in the past two months? *
Please provide a few examples of workouts you have performed in the past two months. *
If you have run any races in the past six months, please list the name, date, and distance of each race along with your chip time. (Please consult the website www.athlinks.com for help if you need it.) *
Please add any other comments that you think would be helpful. *
How did you hear about Apex Performance Running? *
If you are under the age of 18, please type the name(s) of your parent(s)/guardian(s) as well as their contact information.
What is your shirt size (gender specific) *
STOP! Before submitting this form, please save this web page for your records. We have had an instance where the form failed to submit and an individual had to fill out the form all over again.
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