New Athlete Questionnaire

Name

First Name

Last Name

Email Address

Cell

(###)

###

####

Home Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Date of Birth

YYYY

Age, Height, Weight

1. What are your reasons for seeking a personal coach?

2. How many years have you been running?

3. Briefly describe your last few months of training? Miles/week? Longest run? Average pace?

4. Describe any injuries and when they last occurred?

5. Do you have any health or family history that might affect or limit your training? (heart disease, blood pressure, diabetes, etc.)

6. Briefly describe your daily nutrition?

7. On average, how many hours of sleep do you typically get?

8. What are your short term goals?

9. What are your long term goals?

10. Do you use a heart monitor?

11. Do you plan on doing any cross-training?

12. What day of the week would you prefer to knock out your long run?

13. Due to family, work or other, is there a day of the week you'd prefer not to run?

14. Please keep me informed on any changes to your schedule, upcoming vacations, or work commitments that would affect your training?