Athlete Questionnaire Personal Info Name(required) Email(required) Phone Number Phone Number Is Okay To Text? Yes No Age Gender Female Male Address City Emergency Contact Name (or parent if athlete is under 18) Emergency Contact Phone Emergency Contact E-mail Has a physician cleared you to participate in physically demanding endurance sports? I have not seen a physician I have been cleared by a physician I have not been cleared by a physician Past Experience and Future Interests What Motivates You To Run? Fitness and Fun Recreational or Social Racing Racing For Improved Performance (PRs) Racing For Awards (Overall or Age Group) Racing To Qualify (Chicago or Boston) What Is Your Experience Level? Novice (less than 1 year) Intermediate (less than 5 years) Experienced (more than 5 years) None 5K PR Time and Date (if applicable) 10K PR Time and Date (if applicable) Half Marathon PR Time and Date (if applicable) Marathon PR Time and Date (if applicable) Pace Of Easy Runs (if applicable) Pace Of Tempo Runs (if applicable) How Many Days Per Week Do You Run? How Many Miles Per Week Have You Averaged Over The Last 3 Months? Which Training Techniques Have You Tried? Speed Workouts Interval Training Effort Sessions Cross Training Hill Repeats Strength Training If you said "yes" to Cross Training or Strength Training, what is your schedule and routine? Do you have any chronic running injuries? Describe Your Short Term Goals (and Target Dates) Describe Your Long Term Goals (and Target Dates) Catapult Running Services In order to create a personalized fitness program for you, please indicate the type of program you would like and the desired duration: What Type Of Training Are You Most Interested In? Weekly Online One-on-One Training Weekly In-Person One-on-One Training Weekly In-Person Group Training In-Person One-on-One Training Sessions As Needed Individualized Training Plan How Many Weeks or Individual Training Sessions Would You Like? Any Other Information You'd Like To Share? How Did You Hear About Catapult Running? Submit Form Δ Share this:TwitterFacebookLike this:Like Loading...
