Strength Only Questionnaire (Periodized) — Run4ACozz

Periodized Strength Coaching Questionnaire

Answer questions to the best of your ability. If you have any questions feel free to email andie@run4acozz.com

Name

First Name

Last Name

Age

Birthday

00/00/00

YYYY

Do you have a history of any running related injuries?

If yes to above, please describe.

Include when they occured and any other important information about them.

Do you or have you gone to a PT for anything in the past 12 months? If yes please describe.

Do you have any goal races in mind?

How would you describe your strength training experience?

Please describe your strength training experience

Have you ever worked with a strength trainer before?

When it comes to strength training, do you know of any imbalances or limitations? Do you have any running form issues?

Examples: Hip weakness on left side, limited ankle range of motion, low back issues, etc

Any injury history that could impact your ability to perform certain strength exercises? If so, please describe.

Are there any strength exercises you have had difficulty with in the past?

Are there any areas of strength that you would specifically like to work on?

Do you have access to a gym or weights at home?

If you workout from home, please explain what equipment you have.

What days of the week do you prefer to strength train?

If you don't have a preference, choose anyway and we can help you pick the best days!

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Any day

Any questions for your coach or strength coach or anything else we should know? :)