Athlete Intake Form

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Athlete Intake Form

Athlete Intake Form

The Athlete Intake Form is the first step to unlocking your running potential! By providing essential information about your running background, goals, and preferences, this form will allow me to tailor a personalized training plan that fits your needs. Get ready to take your running journey to new heights!

19Questions

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1
Which coaching plan are you interested in?
Essential Plan
Elite Plan
2
Demographics
First Name
Last Name
Email Address
Contact Number
Age
Please Select
Please Select
Male
Female
Prefer not to say
Gender
Location (city, state)
3
Indicate days you are available to train and the amount of time you are available to train on that day by clicking/tapping the corresponding box.* This field is required.
Mon
Tues
Wed
Thurs
Fri
Sat
Sun
1hr or less
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Row 0, Column 3
Row 0, Column 4
Row 0, Column 5
Row 0, Column 6
1hr to 2hrs
Row 1, Column 0
Row 1, Column 1
Row 1, Column 2
Row 1, Column 3
Row 1, Column 4
Row 1, Column 5
Row 1, Column 6
2hrs +
Row 2, Column 0
Row 2, Column 1
Row 2, Column 2
Row 2, Column 3
Row 2, Column 4
Row 2, Column 5
Row 2, Column 6
Not available
Row 3, Column 0
Row 3, Column 1
Row 3, Column 2
Row 3, Column 3
Row 3, Column 4
Row 3, Column 5
Row 3, Column 6
1hr or less
1hr to 2hrs
2hrs +
Not available
Mon
Row 0, Column 0
Tues
Row 0, Column 1
Wed
Row 0, Column 2
Thurs
Row 0, Column 3
Fri
Row 0, Column 4
Sat
Row 0, Column 5
Sun
Row 0, Column 6
Mon
Row 1, Column 0
Tues
Row 1, Column 1
Wed
Row 1, Column 2
Thurs
Row 1, Column 3
Fri
Row 1, Column 4
Sat
Row 1, Column 5
Sun
Row 1, Column 6
Mon
Row 2, Column 0
Tues
Row 2, Column 1
Wed
Row 2, Column 2
Thurs
Row 2, Column 3
Fri
Row 2, Column 4
Sat
Row 2, Column 5
Sun
Row 2, Column 6
Mon
Row 3, Column 0
Tues
Row 3, Column 1
Wed
Row 3, Column 2
Thurs
Row 3, Column 3
Fri
Row 3, Column 4
Sat
Row 3, Column 5
Sun
Row 3, Column 6
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4
Do you have access to the following for training?Check all that apply.
Track
Treadmill
Elliptical
Bike (indoor or outdoor)
Weights
Gym
Other
5
How long have you been running?
6
Have you experienced any running-related injuries in the past?
YESNO
7
Are there any physical limitations or considerations I should be aware of?* This field is required.
YESNO
8
Please describe physical limitations or considerations as it relates to running. * This field is required.
Huge
Large
Normal
Small
Ok
Ok
9
Describe any past running-related injuries
10
What has been your average weekly totals for running over the past 6 weeks?* This field is required.miles/km or minutes/hours
11
What has been your longest single run in the past 6 weeks?* This field is required.miles/km or minutes/hours
12
Have you run any races in the past several months?* This field is required.
YESNO
13
Please list the distances and time results for those races.* This field is required.
14
Please indicate applicable personal records/bests (PRs/PBs)
5K
Date achieved
10K
Date achieved
Half Marathon
Date achieved
Marathon
Date achieved
15
In which areas of running do you feel you excel the most? Where to you believe you need the most improvement?ex: speed, endurance, consistency, etc.
16
What are your short-term running related goals?within the next 6 months
17
What are your longer-term running related goals?6 months and beyond
18
What are your key motivators for running?Check all that apply
Weight Loss
Weight Management
Set new PRs/PBs
Challenge Myself
Physical Health
Mental Health
Community / Social Connections
Enjoyment / Personal Satisfaction
Other
19
What qualities or most important to you in a running coach?ex: communication, accountability, etc.
20
Do you have any upcoming races?* This field is required.
YESNO
21
List upcoming races* This field is required.
22
Do you cross train or participate in any other physical activities or sports besides running?* This field is required.
YESNO
23
Please provide details about your other physical activities or sports besides running* This field is required.
Type of additional physical activity or sport?
How often to you participate in the addiotnal activity or sport?
24
Is there anything else you would like to share about yourself, your running journey, or your goals?
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Athlete Intake Form

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