Beginner Running Workshops 2019
It helps me to know a little bit about you before you start the running workshops so that I can make sure that they work as well as possible for you for you. Please answer the following questions. All information is password protected and will be deleted 6 months after the course has finished.
Date of Birth
Date Picker Icon
Emergency contact name
Emergency contact number
Do you experience any of the following
Lower back pain
Joint pain (knees, ankles or hips)
Joint pain (neck, shoulders or mid back)
Pelvic floor dysfunction or weakness
Faintness or dizziness after exercise
Taking medication for blood pressure
Any other medication
If you've ticked any of the above boxes please give details here:
Your occupation: (Full time/Part time/Full time mum/ Unemployed)
Activity levels: is your job or daily life sedentary (office based) or are you on your feet (teaching/catering/therapeutic occupations)?
What % of each day you spend sitting down?
What physical activities do you currently do? (team sport/running/dance/gym classes/dog walking etc)
How often do you exercise?
If you currently run: How many times a week?
If you currently run: How long/far?
Where do you like to run?
Have you ever had your gait analysed in a running shop?.
If yes, what was the result?
How old are your running shoes?
Have you ever experienced running-related injuries?
What is your main aim in coming to this running workshop?
(Mothers only) What is the age of your youngest child?
Has your doctor ever said that you have a heart condition and that you should only perform physical activity recommended by a doctor?...
Do you feel pain in your chest when you perform physical activity?.
Do you ever lose your balance because of dizziness or lose consciousness?
Do you have a bone or joint condition that could be made worse by a change in physical activity?
Is your Dr currently prescribing any medication for your blood pressure or for a heart condition?
Do you know of any other reason why you should not engage in physical activity?
Do you have ever experience any problems with your pelvic floor during physical activity?
Do you have any history of bone or joint injury that could affect your running?
If yes, give details
Is there anything else I need to know to help support your running experience?
Day of course interested in
Saturday Beginners 9am
Thurs Beginners 9:30am
Saturday Improvers 8:15am
Thursday Improvers 10:45am
Would you like to be subscribed to my monthly (and occasionally more frequently) newsletter for hints and tips on running, life and self-care?
Yes, subscribe me to this newsletter.
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