Athlete Questionnaire

In order to help me plan a running program that is custom made just for you, it is necessary to evaluate some of your health and lifestyle history, as well as your current 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 running program.

Please note, All fields below are required.

Name

Phone

Email Address

How did you hear about Mile at a Time Running?

Age

Sex

Male
Female

Height

Weight

Mailing Address

City

Emergency Contact (Name and Phone)

Current state of health

Excellent
Good
Fair

Health risks that you feel I should know about?

Running Interests: Check all that apply

Fitness and Fun
Recreation or social racing
Training for multi-sport
Racing for improved performance
Racing for awards (overall, age group, Boston Qualifying etc.)

How long have you been running?

Would you consider yourself

Novice
Intermediate
Advanced

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

What is the highest weekly mileage you have ever achieved?

What weekly mileage are you most comfortable "peaking" at?

Have you ever done speed workouts, interval training, tempo runs or "effort" sessions?

Comments or Details:

Recent or chronic running injuries

Describe any problems wit previous racing or training

Tell me about your running history...How many races have you run (approximately) and Most recent results:

Describe your current training goals:

What are you trying to accomplish and by when? Do you have a specific time goal for an event?

Running Personal Records ( Distance, Time, Year )

What are your running strengths and weaknesses? Tell me your favorite types of running workouts. Do you mostly run on road, trail, or treadmill?

What day of the week do you prefer to run your "long run"?

Do you have any specific classes or cross training days that you do every week that I need to work around?

Mile at a Time Running uses Instagram as its main source of advertising. I respect and value your privacy, but if you are ever willing to share a running photo from your training, a race or a finish line, please share it with me through email or text. I would love to give you a shout out! Honestly, no pressure at all. I just feel like posting pics of myself gets old and people would love to see what other Mile at a Time Runners are doing! Instagram: @mileatatimerunning

Athlete Questionnaire

Please note, All fields below are required.

I look forward to working with you! Thank you!!