Coaching Questionnaire Name* First Last Age* Email* Phone*Which coaching service are you interested in?* Online Coaching How did you hear about Run The Long Road Coaching?*How long have you been running?* Please list your MOST RECENT race results below. Include ALL races (5K, 10K, half marathon, full marathon, etc.) you have completed in the past 2 years.DistanceFinish TimeDate (Month/Year) Please list your PRs (personal records) below. Include ALL races (5K, 10K, half marathon, full marathon, etc.).DistancePRDate (Month/Year) Please describe a typical training week during the last 4-6 weeks (include number of miles run each day). Include any cross training or strength training.*MonTueWedThuFriSatSunWhat is the average pace of your easy runs?* What is the average pace of your long runs?* Do you do any speed work?* Always Occasionally Never Are there any day(s) that you cannot run due to your schedule? Are there any day(s) where time is limited and you would prefer a shorter run? What is the max distance you could run on that day(s)?Which day do you prefer to do your long run?* What type of terrain do you usually run on (i.e., treadmill, trail, roads)?* Do you do any hill work?* Always Occasionally Never Have you been consistent with your training over the past 4-6 weeks?* Yes No Do you have a goal race that you would like to train for? Please include name of race, goal finish time, and date.*Do you have any other running goals?Are you willing to log your runs in Final Surge (this helps me track your progress and adapt your training plan if needed)?* Yes No How is your overall health?*Do you have any medical condition that could limit your running?*Are you taking any medications? Please list and include reason for taking.*Have you ever experienced a running-related injury?* Yes No Please list all injuries, date of injury, and status of injury.*InjuryDate Injury Began (Month/Year)Current Status of Injury Did you see a medical professional to diagnose and treat the injury?* Yes No Do you use a GPS watch (Garmin, etc.)?* Yes No Have you been fitted for running shoes? Which brand and model do you wear?* Δ