Share some details about you!
Name * Sex * Address * Email *
Age * Weight (lbs) * Height (inches) * What is your injury history (running related or otherwise)? * Please provide whatever details you care to share about your injury history, if applicable. Please provide details about ANY health concerns you may have. Current Fitness
In order to best assess where to begin please share what running, if any, you're doing now.
I would describe myself as... * On average, how many miles per week are you currently running? * please select 0-5 5-10 10-20 20-30 30-40 40-50 50-70 70+ On average, how many days per week are you currently running? * please select None One Two Three Four Five Six Seven What has been your longest single run in the past six weeks? *
Please include distance and/or time & date. (example: 10 miles, 1:30:00, mm/dd/yy)
Give details of any specific (running) workouts you have performed over the past six weeks. Current Fitness and Race History
In order to refine training targets, recent race results can be quite useful.
Most recent race result. If you don't have a current race result, no sweat!
Please include distance, time & date. (example: 10k, 45:10, mm/dd/yy)
Personal best #1
Please include distance, time & date. (example: Chicago Marathon, 3:25:10, mm/yyyy)
Personal best #2
Please include distance, time & date. (example: Hamptons Half Marathon, 1:50:25, mm/yyyy)
Since you are interested in hiring a running coach, surely you have some goals in mind. Goals are particularly important because they help set a direction in which to focus your efforts and focus the specificity of training. Tell us what you hope to achieve.
How many miles per WEEK do you expect to run in your PEAK weeks of training? * please select 10-20 20-30 30-40 40-50 50-60 60-70 >70 On average, how many days per week do you expect to run during your training? * 3 or fewer 3-4 4-5 5-6 6-7 I'm open to running double sessions on certain days. Upcoming races currently on your calendar. List as few/many as you wish. If you have not yet registered for a race - that's ok too!
EXAMPLE: 2019 NYC Marathon, 2020 Berlin Marathon
My long-term training goals are...
EXAMPLE 1: I would like to complete a 1/2 Marathon under 2 hours and run the NYC Marathon next fall in honor of my mother who is a cancer survivor. EXAMPLE 2: I am registered for a NYRR 10k in October and I would like to run a personal best.
My health goals are...
EXAMPLE: I am currently about 20lbs overweight and I would like to use running as a way to help shed the extra pounds.
My mental goals are...
EXAMPLE: If I don't see results quickly I typically become discouraged and give up. I would like to build up the courage to stick with a training plan.
Equally as important to defining your goals is recognizing and ackowledging the challenges you may face during your training. Tell us a little about the challenges you foresee which may hinder your progress.
The challenges in achieving my goals are...
EXAMPLE: I'm limited on time because I work 50+ hours each week and have 3 kids.
Why I want a running coach
Your success, in whatever your goals are, is my priority. To help us fully understand what you would like get out of having a coach, please share what would make our partnership successful to you.
Prefered Coach * please select Gary Berard Bobby Curtis No preference I am interested in... *
Select ALL that apply.
Private Coaching - Bronze Private Coaching - Silver Private Coaching - Gold Assessment Pacing Other (please describe below) Other
Please elaborate on the service which interests you - if not listed above. If you're interested in group coaching, please reach out to us via the Contact page.
I want a coach because... *
EXAMPLE 1: I have been unable to maintain a steady training program on my own. EXAMPLE 2: I lack the motivation to run on my own so I need someone to motivate me. EXAMPLE 3: I need a coach for accountability. I just don't know how to train effectively.
Other details you care to share?
Anything else you would like to tell us that may have been excluded from the fields above? Write it here!
Who (or what) inspires you? Privacy * Name
This field is for validation purposes and should be left unchanged.