Team IPEF – Participant Questionnaire – Run | Rise

To help ensure we provide the right training program for you, it is necessary to evaluate some of your health and lifestyle history, as well as your present running and general 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

TRAINING PLANS

5k Beginner: 8 week plan. For the person looking to complete their first 5k or follow a walk to run plan for the first time. 3 days/week, begins at 4.5 miles / week, building to 8 miles / week. Appropriate for walking, walk/run or first 5k. 8-week plan begins Aug 22.
Half Marathon – Beginner: 12 week plan + optional 4 week base training. Suitable for first timers or those who have taken a break. 3 days/week of running building to 4 days, 13-22 miles/wk including 1-2 easy runs, 1 light speed workout, 1 long run. Longest run 10 miles. Plan is flexible to include walk/run. 12-week plan begins Jul 25, base training begins Jun 27.
5k – Intermediate: 8 week plan + optional 4 week base training. For the 5k runner wanting to improve their time. 4 week base training starts at 10 miles/week. 8 week training begins at 15 miles/week, 4 days/week, 1 day/week speedwork, 1 LR. 8 week plan. Peak mileage 18 mpw, longest run 7 miles. 8-week plan begins Aug 22, base training begins Jul 25.
Half Marathon – Intermediate: 12 week plan + optional 4 week base training. For the experienced half-marathoner or those looking to race for a goal time. 4 days/week of running, 15-27 miles/wk including 2 easy runs, 1 speed workout, 1 long run. Longest run 12 miles. 12-week plan begins Jul 25, base training begins Jun 27.

Which Training Plan you would like to use? Select one:

5k Beginner 5k Intermediate Half Marathon Beginner Half Marathon Intermediate

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

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.

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 other races planned this summer? (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?)

Do you have any other questions or concerns?

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