Lifestyle Questionnaire

Tell us a little about yourself

This may take some time but Walk to Run Ltd really appreciates your effort to do this! The more information you give us the more we can help.

All information disclosed is treated in the strictest of confidence and no opinion will be noted from your personal views with regard to the ongoing relationship.

Your Name (required)

Your Email (required)

Your Mobile

Your Landline

What service are you interested in, lifestyle/nutrition/personal?

Describe your sleeping habits? In up to 200 words describe how a typical week of sleep occurs:

Describe your attitude to life? In up to 200 words describe how you are generally as a person:

Would you say you worry? In up to 200 words describe how you are with problems:

Do you get stressed if things don’t go to plan? In up to 200 words describe how you are when under stress:

How do you feel after being startled 5 minutes afterwards? Describe in 50 Words how you would feel after such an event:

Do you face the music or run for the hills?

How would you describe your lifestyle and are you happy with it? Please describe in more than 200 words your attitude towards your lifestyle and any wishes/regrets you wish to disclose:

How do you like to be praised? In up to 100 words explain how you like to know you are doing well:

How do you like to be criticised? In up to 100 words explain how you like to be told you are doing badly:

Do you think your lifestyle stops you training or affects it in a negative way? In up to 200 words describe your answer and views:

List your top ten priorities in life in order. 1 is most important:

Any other factors you think will affect your training?

How did you hear about Walk to Run?

It would be great to have a chat on the phone, when is best for you?

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