Athlete Profile Form / Questionnaire Assessment

There will be a one-time setup and consultation fee of $25.00 for new clients. Upon payment, an interview will be scheduled via phone or Zoom. During this session, we will review the Athlete Profile Form and Questionnaire Assessment that you have completed, which outlines your specific needs and goals. Subsequently, I will develop a personalized training plan and/or schedule one-on-one sessions. Please find the link to PayPal below for the $25 setup and consultation fee for new clients. Additionally, this page includes the Profile Form and Questionnaire Assessment.

Please be assured that all information will be treated with the utmost confidentiality. As your coach, it is essential for me to assess certain aspects of your health and lifestyle history, as well as your current running fitness level. I kindly request that you answer the questions to the best of your ability when you are prepared. I look forward to the opportunity to be your running coach. Should you have any questions, please do not hesitate to reach out. Thank you, and I eagerly anticipate coaching you!

- Set Up/Consultation $25.00

Click here for Setup an Appointment & Consultation

Name *

First

Last

Date of Birth *

Height *

Feet (ft)

Inches (in)

Weight *

Pounds

To which gender identity do you most identify? *

Address *

Address Line 1

Address Line 2

City *

Province / State / Region *

Zip or Postal Code *

Country *

Email *

Phone Number *

Do you text? *

Emergency Contact Name *

First

Last

Emergency Contact Phone *

Best days and times to call/text or notes on the phone numbers listed above: *

Current state of health *

Medications (if none, please list "none") *

If currently sick or injured, describe difficulty and date of onset: *

Health Risks (Family history, chronic disease, etc) *

How long have you been running? *

Have you been fitted for running shoes? What type of brand and model do you wear? How many miles are on your current pair? *

Tell more about yourself? *

Would you consider yourself a novice, intermediate or experienced runner? *

Novice
Intermediate
Advance

Describe any past sprint or endurance sports experiences. (Please list all applicable: Hurdle, Sprint, Mile/1500, 5k, 10k, half marathon, marathon, etc) and list time/year. List any past race results and PRs (personal records). *

List any other organized sports interests/experiences. Current physical activities and weekly frequency (swimming, boot camp, etc) outside of running - include both Strength Training & Cross Training: *

Running Interest (check all that apply) : *

Fitness and Fun
Recreational or Social Racing
Training for multi-sport
Racing for Improved Performance
Racing for Awards (overall, age group, Boston Qualifying, etc)

Other sports or physical activities you enjoy? *

What short/long term goals do you want to achieve? *

Have you ever worked with a running coach before? Please describe your experience. *

What do you hope to gain from hiring a sprint/endurance coach? *

What race distance would you like to focus on, if any? *

What current races are you signed up for? Please list name, location, distance and date: *

Do you have any past/present injuries? *

Please list the date of your last physical? Have you talked with your Doctor about your plans to compete in sprint and/or endurance sports? *

Have you had any major surgeries that may affect your training? *

How many hours per day/week can you devote to training? Which day is best for your longer training day? Rest Day? *

What day do you prefer your long run, Saturday or Sunday?

Saturday
Sunday

What days/times do you have to train? (increments of 2 hours, if not listed, but fits into one of the time frames please answer with that time frame.) *

Monday *

Tuesday *

Wednesday *

Thursday *

Friday *

Saturday *

Sunday *

How many hours per day/week do you currently train/exercise? How many miles per week have you averaged averaged over the past 3 months What is your longest weekly workout, in each sport, to date? *

What is the average pace of your "easy" effort runs? *

Do you usually run outside or on the treadmill? *

Do you have access to a track? *

Have you ever done "speed" workouts, interval training or "effort" sessions? *

Comments and details regarding your speed training: *

What training devices do you own? (e.g. chronograph watch, gps running watch, heart monitor, treadmill, bike) Brand/model? *

If you use Garmin and/or Strava, what's your Garmin Connect and/or Strava username?

Are you familiar with Yoga and functional strength training exercises? *

Describe any problem with previous training or racing: *

What aspects of your lifestyle do you feel could interfere with your training program? (Children, demanding job, required travel, etc.) *

Do you have a supportive team of family/friends that share your athletic dreams/goals? *

What are your key races for the upcoming season? *

Running Racing Experience *

None
Novice
Intermediate
Experienced

When would you like to begin your training plan? *

Additional comments or interesting things we should know about you? Or any questions: *

How did you hear about Runner's Grit Training? *

What type of training and/or session you are looking for? *

Select the best one that fits you as an athlete what services you inquiring.

Athlete over 18 years old
Parent or Guardian of the athlete
Athlete under 18 years old

I, the below signed athlete, represent that I am at least eighteen (18) years of age. Further, I understand and agree that 1) participation in the services provided by Coach Eric Lutton is voluntary; 2) the training plan may include intense physical activity; 3) and that such participation carries with it certain and inherent and unavoidable risks, including an increased risk of serious illness, injury, paralysis, or even death. I hereby attest that I am in good health, that my statements in the attached Questionnaires and oral interview are accurate to the best of my knowledge. I fully understand the risk inherent in such a fitness/running program and accept for myself, my heirs, and my personal representatives full responsibility for personal bodily injury, death, or property losses that may occur as a result of my engaging in training sessions. I hereby indemnify and save and hold harmless Coach Eric Lutton from any loss, liability, damage and cost I may incur due to my participation in this program. I understand that Coach Eric Lutton is not a medical service provider and thus for any and all question concerning my fitness to participate in the training plan I will rely upon my licensed medical doctor or other medical personnel with whom it is my responsibility to consult.

I hereby grant Coach Eric Lutton the right to use my picture, silhouette or other images of my physical likeness (still photograph and/or video) in connection with advertising or publicizing his services in print or website.

I have read and voluntarily signed this waiver and release from liability, and further agree that no oral representations, statements or inducements apart from the foregoing written agreement have been made.

Parent / Guardian E-Signature (if athlete is under 18) *

Today's Date *

Athlete E-Signature *

Today's Date *

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