questionnaire

Name

Address

Phone number

Date of birth

Height

Weight

Gender

Resting heart rate

Maximum heart rate (if known)

How many years/months of running at all

How many years of structured running

Set out your biggest recent training week

Set out an average week in last six months

Percentage of your running on road

Percentage of your running on grass

Percentage of your running on athletic track

Percentage of your running on other off-road surface

What racing distances have you tried, state your best time for each and when this was achieved

Describe your stretching (how long and how often)

Strength and Conditioning/Circuits - describe a session and average duration and regularity

Aerobic based X-training (rowing/biking/swimming/stepping/elliptical cross

How many hours per week on average do all the above activities take?

How many days per week on average do you do any of the above?

Any other regular sporting activities you currently do?

What other sports played in your youth - age, how many years and at what level

Work - nature, how many hours per week, typical working hours per day and how much you govern your own hours

How many minutes/hours travel to and from work

Is it practical to run from home to work or from work to home?

Any other fixed commitments eg course of study, caring for child, parent etc?

Are you a vegetarian or vegan?

Yes

Are there any other foods or food groups you avoid? If so, state which and why?

Describe any food supplements you take and why you choose them

Briefly describe how meals fit around work and training in a typical day

How many units of alcohol do you drink in an average week (1 unit = 1/2 pint of beer or small glass of wine or a nip of a spirit

How many days per week do you drink alcohol on average?

Do you have massage, if so how often?

Is your person qualified as a sports massager - physiotherapist - osteopath - other (please specify) - combination of these?

Give your sports injury history, describing nature of injury, how suffered, diagnosis, when it occurred, nature of treatment and

Describe any other medical issues that may affect your running or training, or otherwise state there are none.

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