Athlete Intake Questionnaire | GymTherapy Running Coaching

01

Basic Info

The essentials so I can get in touch.

First Name *

Last Name *

Email *

Phone Number *

Date of Birth

Gender

Location / Suburb Where are you based? (helps with local conditions & races)

Preferred method of communication

EmailPhone callTextWhatsApp

02

Goals

Let's pin down what you're chasing this season.

What are your racing goals this season? *List races in order of priority, with dates and distances if known.

What does success look like in each of those races? *Be specific — what's a win? What's a disappointment? (e.g. goal time, place, negative split)

Are you happy with your performances in the past?

YesNoSomewhat

If not, why were you disappointed?

What's holding you back the most? *List at least three, in order of importance (e.g. consistency, motivation, injury, time).

Why are your racing goals important to you? *

Do you have any goals besides racing this season? Be specific (e.g. run pain-free, lose weight, build a habit, first ultra).

What does success look like in each of those non-race goals?

How do you adjust your goals when you hit a setback (injury, illness, life)? *

What keeps you motivated during tough training blocks or setbacks?

Anything else I should know about your goals?

03

Training Background

Help me get to know you as a runner.

Summarise your running / athletic history *How long you've run, key events, past coaching, background in other sports.

Rate your level as a runner *

BeginnerIntermediateAdvancedElite / Competitive

List your strengths as a runner

List your weaknesses

How many hours a week do you currently train (on average)? *

0–55–1010–1515+

How many times did you race last year?

Does weather limit your training? If yes, describe (heat, cold, wet, treadmill access).

Do you strength train? *

Never1–2×/wk3+×/wk

If yes, describe your strength routine

04

Running Data & Personal Bests

The numbers help me set accurate paces and zones.

Current average weekly mileage / km *Roughly how much you're running per week right now.

Longest run in the last month

Personal bests Add any you have, with rough dates. Leave blank if not applicable.

5 km

10 km

Half Marathon

Marathon

Other (ultra, track, trail, obstacle)

Do you train with a GPS watch or run tracker?

Yes — GarminYes — Apple/Coros/OtherPhone app onlyNo

Do you use Strava? If so, what's your profile link or handle? Optional — makes reviewing your training much easier.

Do you know your current training paces or heart-rate zones? Share whatever you know (easy pace, threshold, max/resting HR).

05

Injury & Health Screening

Important for safe, individualised programming. Please be honest and thorough.

Are you carrying any current injuries or niggles? *

YesNo

If yes, describe them Where, how long, what makes it better/worse, current pain level.

Any significant past injuries or surgeries? *Especially anything recurring (shins, knees, hips, calves, Achilles, back).

Any medical conditions I should be aware of? e.g. asthma, cardiac issues, diabetes, low iron, hormonal, RED-S history.

Are you currently taking any medications that could affect training?

Have you had a recent medical check, or are you cleared to exercise?

Yes — clearedNo — not checkedUnsure

Are you currently seeing a physio, podiatrist or other practitioner?

06

Nutrition & Recovery

How you fuel and recover shapes how hard we can push.

How would you describe your current diet / fuelling?

Do you follow any specific diet? e.g. vegetarian, vegan, keto, gluten-free, none.

Do you fuel during long runs (gels, drinks, food)? And do you have any gut issues when running?

How's your hydration on a typical day?

PoorOKGood

Do you drink alcohol? If so, roughly how much per week?

What do you currently do for recovery? e.g. stretching, foam rolling, massage, rest days, nothing yet.

07

Schedule

Where all the time goes — so training fits your real week.

How often do you run with others or with a group?

Never1–2×/wk3+×/wk

What is your occupation? *

How many hours a week do you work?

Part-timeFull-timeFull-time + overtimeShift work

Weekday training availability

Weekend training availability

Typical wake time

Typical bedtime

How many hours of sleep do you average per night?

Under 66–77–88+

08

Lifestyle & Support

The context around your training.

How supportive is your family or close circle of your training and racing? *

How do you balance your running goals with personal and professional life? *

Any current life stressors (work, finances, relationships) that might impact training? *

How do you manage your time to fit training in?

Anything else you'd like me to know?

09

Consent & Emergency Contact

A few final acknowledgements before we start.

Emergency contact name *

Emergency contact phone *

Relationship to you