Client Questionnaire

In order to help plan your fitness/athletic program, we need 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)

First Last

Preferred Pronouns

Age

Email(Required)

Phone(Required)

Emergency Contact (name & phone)(Required)

Health Issues or Injuries

Running Interest (check all that apply)(Required)

Fitness & Fun

Recreational / Social Racing

Multi-Sport Training

Racing for Improved Performance

Racing for Awards (overall, age group, BQ, etc…)

How long have you been running?(Required)

Average miles per week?(Required)

Have you ever done speed work?(Required)

Yes

Current Training Goals(Required)

Current Personal Bests

Anything else you want me to know?

Client Questionnaire

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