PRE-SEASON QUESTIONNAIRE

Name:_____________________________________ Today’s Date:__________________

INFORMATION

List your best marks and dates in cross country on the high school level:
Distance Year Time Place
2.5 mile __________ __________ __________
3 mile __________ __________ __________
5k __________ __________ __________
__________ __________ __________ __________

List your best marks and dates in track on the high school level:
Distance Year Time Place
400 __________ __________ __________
800 __________ __________ __________
1000 __________ __________ __________
1500 __________ __________ __________
mile __________ __________ __________
3000 __________ __________ __________
3200 __________ __________ __________
2 mile __________ __________ __________
steeple __________ __________ __________
5k __________ __________ __________
__________ __________ __________ __________

List any championship cross country teams you were on (this includes
league, conference, state, region, etc.):
_______________________________________________________________________________
_______________________________________________________________________________

List your best marks and dates in cross country on the college level:
Distance Year Time Place
5k __________ __________ __________
5 mile __________ __________ __________
10k __________ __________ __________

List your best marks and dates in track on the college level:
Distance Year Time Place
400 __________ __________ __________
800 __________ __________ __________
1000 __________ __________ __________
1500 __________ __________ __________
mile __________ __________ __________
3000 __________ __________ __________
steeple __________ __________ __________
5k __________ __________ __________
10k __________ __________ __________

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List your best marks and dates in road races:
Distance Year Time Place
5k ___________ ___________ ___________
8k ___________ ___________ ___________
5 Miles ___________ ___________ ___________
10k ___________ ___________ ___________
___________ ___________ ___________ ___________

What is the longest distance you have ever run at one time?__________________
When?___________________________

What is the most number of miles you have ever run in a week of training?____
When?___________________________

Do you keep a training log? Yes No

Do you normally stretch before or after a run? For how long?__________________

List any injuries you have had, their dates, and a brief description of its onset
and treatment.
Injury Date Description
________________________ __________ ___________________________________________________
________________________
________________________ __________ ___________________________________________________
________________________
________________________ __________ ___________________________________________________
________________________
________________________ __________ ___________________________________________________
________________________
________________________ __________ ___________________________________________________
________________________

Circle distances you can race for indoor track?

400 800 1000 1500 3000 5000
Circle distances you would like to focus on for indoor track?
400 800 1000 1500 3000 5000
Circle distances you can race for outdoor track?
400 800 1500 5000 10,000
Steeple
Circle distances you would like to focus on for outdoor track?
400 800 1500 5000 10,000
Steeple
Self-evaluation

COMPONENTS Low Hig

h

Endurance 1 2 3 4 5 6 7 8 9 10

Speed 1 2 3 4 5 6 7 8 9 10

Speed 1 2 3 4 5 6 7 8 9 10
Endurance

Flexibility 1 2 3 4 5 6 7 8 9 10

Muscular 1 2 3 4 5 6 7 8 9 10
Strength

Running Form 1 2 3 4 5 6 7 8 9 10

Mental 1 2 3 4 5 6 7 8 9 10
Strength

Hill Running 1 2 3 4 5 6 7 8 9 10

Comments:

What do you consider to be your strengths as an athlete, particularly a

runner?
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________

What do you consider to be your weaknesses as an athlete, particularly a

runner?
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________

What do you like about running and being a runner?

_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________

What do you dislike about running and being a runner?

_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
NEEDS QUESTIONNAIRE
1. Why did you come out for the team this year?

2. Are there any particular skills you personally want to work on this
year?

3. Where does participation in this sport fit into your priorities this year?

4. What do you like most about practice?

5. What do you like least about practice?

6. What can the coaching staff and/or your teammates do to help you this
season?

7. Is there anything the coaching staff and/or your teammates should

avoid doing or saying prior to a contest?

8. What do you like to do just before a contest to prepare for

competition?

9. Describe how you most like to receive corrective feedback.

10. List three ways you would like to be rewarded for you efforts.
a.
b.
c.

11. List three things you perceive as being punishments.

a.
b.
c.

12. Is there anything else you feel the coaching staff should know about
you to help you reach your goals this season?
13. List your goals for this coming season.