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Training Plan Intake Form
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Name
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Gender
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Height
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Weight
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Has Dr. approved exercise?
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Training Plan Length/Distance
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8-week 5k plan
8-week 10k plan
12-week Half Marathon plan
18-week Marathon plan
Race Distances Completed
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5k
10k
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50k
50 miles
100k
100 miles
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Races (With Times) Completed in the Last 12 months
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Do you have experience with the following workouts?
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Hill Repeats
Speed/Track Workouts
Tempo Runs
Steady-State Runs
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Injury/Surgery History
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No. of Days/Week You Can Run
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Current Weekly Mileage
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Other Sports/Cross Training/Strength Training
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Do you have any difficulties with the mental aspects of training or racing?
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Target Race
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Known Vacations or Work Travel During Training
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Additional Comments
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