Anaerobic Management

Getting Started

We would like to learn more about you as an athlete. You're under no obligation by submitting the questionnaire. Your information only saves time in evaluating your needs and in beginning your program. We'll get back to you as soon as possible by email or phone. We look forward to hearing from you.

Questionnaire

Personal Information

Full Name

Street Address

City

State

Zip

Country

Phone

Occupation

Marital Status

Children

Height

Weight

Age

Gender

What are your reasons for seeking personal coaching?

How did you find out about Anaerobic Management?

Running History

Number of years you have been running

Age you started running

Your competitive history. List your personal bests (events and times):

High School

College

Post Collegiate

Masters

Briefly describe your last 12 months of training

Health History

Describe any injury problems and when they last occurred

Do you have any health problems or family history of health problems which might affect or limit your training (ie. heart disease, diabetes, hormonal problems, thyroid, high blood pressure...)?

Briefly, how would you describe your nutrition?

Goals

What are your short term goals? (next 6 months)

What are your long term goals?

Miscellaneous

If you have a heart rate monitor do you use it?

Tell us about any cross training that you do

Do you train with a group or training partner? On what days? For what kind of training and how often?

Training Environment - What kind of access do you have to:

400m track

Trails or dirt roads

Large grass area

Pool

Hilly running course

Treadmill

Please print a copy of your questionnaire BEFORE sending it to Anaerobic Management. In the event that your questionnaire is not received, your printed copy can always be sent by fax or mail.

By sending this information sheet you agree to the following wavier and liability release:

I hearby attest that I am in good health and capable of participating in a vigorous training program for the purpose of improving my fitness. I understand the risks of participating in any physical activity and the risks associated with running programs in particular. I have consulted a licensed medical doctor to verify my ability to engage in a high level running conditioning program. I have read, voluntarily signed this release and hereby for myself, my heirs executors and assigns, waive, release and hold harmless Jon Sinclair, Kent Oglesby and Anaerobic Management from any and all claims, demands, liabilities, rights or causes of action arising out of or in connection with participation in activities proscribed by the aforementioned parties.