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Name (first & last):
Email:
Weight: Height: Age:
How long have you been running:
What is/are your training goal(s)?
Have you had any previous injuries related to running? yes no
Do you currently have an injury? yes no
Do you stretch on a regular basis? yes no
Do you strength train on a regular basis? yes no
If so, what is your typical schedule?
What is your energy level? high normal low
Describe your current running regimen (distance, pace/intensity, and day of the week):
What is your racing history over the last two years (races, results, personal bests)?
Have you had any problems with racing and training in the past? yes no
Additional comments: