New Athlete Questionnaire

To help us plan a fitness/athletic program for you, it is necessary to evaluate some of your health and lifestyle history, as well as your present running fitness. Please answer to the best of your ability. Your information will be kept confidential and used only in helping make recommendations for a fitness program.

Name(required)

Email(required)

Phone Number(required)

Emergency Contact (Name / Phone)(required)

Address

DOB

Gender

Height

Weight

Preferred method of communication (phone, email, text, Facetime/Zoom)

MEDICAL HISTORY

Current State of Health, risks to be considered for training

Describe history or injuries (date, what type(s), treatment, previous training or racing difficulties

Recent or chronic injuries

If "yes" to above, have you been cleared by your doctor to run/work out?

Describe any problem with previous training or racing

LIFESTYLE

Running Interest: Fitness & Fun, Recreational/Social Racing, Racing for Improved Performance, other

Describe your family, work, hobbies

Preferred days for running

Preferred time of day for running

Any particular day(s) you cannot run (upcoming vacations, work/personal commitments, life events)

Preferred day for:

Long Run

Rest Day(s)

Strength/Cross Training

RUNNING HISTORY

How long have you been running?

Have you ever done "speed" workouts, interval raining or "effort" sessions? If "yes", provide details (distance, pace, recovery intervals, etc)

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

Describe your current fitness routine in detail: runs, cross training, strength, classes, etc.

Current Cross Training to maintain during your training plan (e.g. pool, biking, classes, etc), days/time

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

What is the longest run you have completed in the past two months?

Would you consider yourself a novice, experienced or competitive runner?

RACING HISTORY

Most recent racing results (include race, distance, pace/time, and date)

Personal Bests (include race, distance, pace/time, and date)

10k

Half-Marathon

Marathon

Personal Best: Other Distance

What issues have you encountered with previous races (pacing, fueling, hydration, goal-setting, etc)

TRAINING GOALS

Describe your current training goals (what are you trying to accomplish, by when?)

Where do you want your running to be in 3 months?

Do you have a goal race?

Upcoming races (race, date)

Are you interested in coaching on your nutrition and race fueling?

OTHER

Do you have a GPS watch? (if yes, what brand/model?)

How did you hear about Run | Rise | Shine – Run Coaching with Nicki Monson?

Do you have any other questions or concerns?

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