Happy & Healthy Runner Program Application

R4U Coaching Application

Below is a more detailed form to help me understand YOU and where you are in your running & health journey. Please fill this out with as much detail as you can as this will help me in determining if we would be a good fit - and ultimately, if I can help get you to where you want to be.

Once you are finished, make sure to watch the video giving you an inside look at the program, then schedule for a free call to talk over more details!

Name

Age

Height and weight

What are you looking for?

What are your specific running & health goals? Please be as specific as possible.

What are 1-3 of the biggest obstacles stopping you from reaching those goals?

Briefly describe your running history. (i.e. Are you just wanting to begin running? Are you coming back from time off? Have you already been running consistently?)

Your current running minutes/mileage per week (if any):

Do you have a watch and/or GPS system to track paces & distance?

Are you currently strength training regularly? If so, please briefly describe the frequency (days/week) as well as what your regimen consists of. (i.e. crossfit, bodyweight exercises, general resistance training, etc.)

Do you have access to any strength training equipment at home (kettlebell, dumbbell) or access to a gym?

What aspects of running and strength training are you most intimidated by?

Briefly describe your relationship with food and nutrition:

Do you have any current or past injuries you would like me to be aware of?

Are there any other personal goals or information you would like me to be aware of?

How did you find me?

This is a premium coaching program that involves an investment in yourself, your body, and your future. Please select an option that best represents where you are at in the text box below:

Most important for last - What is your favorite ice cream flavor?

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