RUNNER PERSONAL INFORMATION INFORMATION

NAME ________________________________________
ADRESS_________________________________________
__________________________________________
EMAIL_______________________________________________
PHONE#_____________________________________________
DOB __________________________
GENDER_____________
HT___________________ WH___________________
MILES RUNNING A WEEK ______________________
CROSS TRAINING TIME_________________________
WICH METHOD OF CROSS TRAINING ARE YOU USING AT THIS TIME?
____________________________________________________________________
HOW MANY TIME A WEEK DO YOU RUN?____________________
HOW MANY TIME A WEEK DO YOU CROSS TRAIN? _________________________
DO YOU DO ANY OTHER SPORT BESIDE RUNNING? _________________
DO YOU HAD ANY INJURIES?____________
IF YES TELL ME WHICH INJURIES YOU HAD IN THE PASS. AND FOR HOW LONG.
___________________________________________________________________
___________________________________________________________________
____________________________________________________________________

PERSONAL BEST
5KM:________________
10KM________________
1/2 MARATHON_________________
MARATHON____________________
TELL ME A SHOR TERM GOAL THAT YOU WOULD LIKE TO ACCOMPLISH AND A
LONG TERM GOAL.
SHORT TERM GOAL:________________________________________________

LONG TERM GOAL__________________________________________________

HOW MANY RACES HAD YOU RAN SO FAR?____________________________

WHY DO YOU LIKE TO RUN?