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Private Run Coaching Athlete Intake Form

Welcome to JLoeb On the Run. This detailed intake form is the first step in creating your science-based, personalized training strategy. By sharing your history, goals, and lifestyle, we can build a coaching experience tailored specifically to your journey.

First name*

Last name*

Email*

Phone*

Birthday*

Month

Day

Year

Address*

Occupation or School Schedule*

How long have you been running?

Less than 6 months

6 months- 2 years

2-5 years

5+ years

How would you describe your current running experience?

New Runner

Recreational Runner

High School Athlete

College Athlete

Competitive Runner

Returning Runner

Current Weekly Mileage

How many days per week do you currently run?

Describe your typical training week:

What are your primary running goals?

Complete my first race

Improve my 5K performance

Improve my 10K performance

Improve my half marathon performance

Improve my marathon performance

Increase weekly mileage

Improve consistency

Improve endurance

Improve speed

Build confidence as a runner

General fitness

Other

What race or event are you currently training toward and what is the event distance?

Race Date (if applicable)

What is your goal time (if applicable)?

Current Personal Records (if applicable for Mile, 5k, 10k, Half Marathon, and Marathon)

How many days per week are you able to train?

2-3 days

4 days

5 days

6 days

7 days

Do you currently participate in strength training?

Yes

Are there any current physical limitations, medical considerations, or training restrictions that may affect your ability to complete a running program?

Are you currently cleared to participate in physical activity?

Yes

Average hours of sleep per night

How would you describe your current nutrition habits?

Average stress level (1–10)

Are there any lifestyle factors that may impact your training?

Which JLoeb On The Run coaching option are you interested in?

Level 1

Level 2

Preferred communication method

Anything else you would like me to know before beginning coaching?

By submitting this form, I understand that JLoeb On The Run provides coaching, not medical care, and that training advice is based on the information I provide.*

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Serving Cleveland, OH and NC-Research Triangle
Reach out: JLoeb.ontherun@gmail.com