First Name*

Last Name*

Phone*

Email*

Area*

City*

Pincode*

Date of birth*

What is your preferred method of contact?*
EmailPhone CallTextAny

Are you a new runner?*
YesNo

Are you an active runner?*
YesNo

Are you returning to running after time off?*
YesNo

What are your goals?*
Run a couple of times a weekRun a 5 KRun a 10 KRun a 1/2 marathonRun a full marathonAll of the above

What is your primary motivation for running?*
HealthWeight LossChallenge MyselfAll of the above

What else motivates you?*
Creating and achieving goals I set for myselfMastering new thingsBeing good at whatever I am doingSetting and keeping my commitment to my goals

How would you classify your running interest? (Check all that apply)*
Fitness and funRacing for improved performanceNew challenge

What kind of runner do you consider yourself *
NoviceIntermediateExperienced

How did u hear about us?
Google SearchWebsiteInstagramFacebookFriendsSpotted us somewhere

Have you ever run a race before?*
YesNo

If yes, what was the distance and what was your time? (Fill in)

Do you have any injuries preventing you from starting or limiting you if you are running?*
YesNo

How would you feel if you reached your goal? (Check all that apply)
InspiredAccomplishedHappyMotivated

How committed are you to reach your goal? (Check all that apply)*
Running 2-3 time weeklyRunning 3-4 times a weekRunning 2-3 times a week, lifting weights 2 times a week and stretching 1 time a weekRunning 3-4 times a week, lifting weights 2 times a week and stretching 1 time a week

What’s the furthest you’ve ever run? *
Less than 1 KM5 KMS10 KMS21 KMS42 KMS

If you are an active runner, how many kms have you run in the last month?
Less than 10 KM30 KMS50 KMSMore than 75 KMS

Do you find importance in having a person(s) supporting you to help you achieve your goals?
YesNo

Do you have access to any of the below? (Check all that apply)
A trackHillsTrailsA safe running environment

Are you planning to run any races in the next year?
YesNo

Do you have any experience with speed workouts?
YesNo

Do you own a device to track your running?
YesNo

Would you like advice about which device to use for running?
YesNo

Do you know how to calculate your run pace?
YesNo

Would you like to learn how to calculate your run pace and tips to improve your run pace?
YesNo

Is there anything you would like to share with me before I contact you?

Your Photo
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Latest timing certificate
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