Name(Required) First Last Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Age(Required)Please enter a number from 10 to 99.Gender(Required)OccupationReason for booking/what do you want help with?Running BackgroundAre you a regular runner? Yes No(Required) Yes NoWhat is your experience with running?(Required) complete novice social runner club runnerDo you run for:(Required) Fitness Competition EnjoymentAre you currently training for a particular race/event? What are your goals?(Required)Describe your weekly trainingHow many days per week do you run?(Required)NoneOneTwoThreeFourFiveSixSevenHow many days per week do you exercise? Please list all other forms of weekly exercise including frequency.(Required)What distance do you typically run per session or for how long? (km/miles/time)(Required)What type of run training do you include in your weekly plan?(Required) Tempo Runs Interval Training (High Intensity) Hills Long Runs Other (Describe)What surfaces do you generally run on?(Required) road track grass sandDescribeDo you warm up before you run? what does this involve?(Required)Do you cool down after your run? what does this involve?(Required)FootwearWhat footwear are you currently running in?(Required)What features do you look for in a run trainer? cushioning stability fit price colour comfortDo you wear orthotics? If so, for what reason.(Required)How often do you change your run trainers?(Required)NutritionDoes nutrition play an important part in and around your training? If so, please tell me how you fuel before, during and after exercise and whether you use nutritional products such as gels, electrolytes, recovery products.(Required)RecoveryDo you have any regular routines to aid recovery post exercise? (Nutrition, stretches, self massage, foam roller, Ice/Heat, compression, rest)(Required)MEDICAL HISTORYDo you currently have any pain, soreness or injuries?(Required)Have you sustained any previous injuries or surgeries?(Required)Do you have any general health issues such as diabetes, asthma, arthritis, cardiac conditions, dietary issues, mental health conditions, high blood pressure? please give details.(Required)Are you a smoker? If so, provide details.(Required)I consent to my submitted data being collected and stored. We will never share this information with any third parties.(Required) Please Tick Box To AgreeCommentsThis field is for validation purposes and should be left unchanged.
