Partners Running Club Survey
Hi Partners Runners!
Please fill out the following survey (it should take about 10-15 minutes at most), and then submit it by Monday, October 27, 2008. Your timely response is much appreciated.
Thanks,
MGH Institute of Health Professions DPT students
1
Please state your date of birth
2
Gender
Male
Female
3
What is your occupation?
4
How many years have you been running regularly?
0-1 yrs.
1-3 yrs.
3-5 yrs.
5 or more yrs.
5
How many times per week do you run?
1-2 times
3-4 times
5-6 times
7 or more times
6
How would you classify yourself as a runner?
recreational; no races
recreational; a few races, for fun
Competitive; races regularly
Elite; competes professionally
7
How many rest/recovery days do you take per week?
0 days
1 day
2-3 days
4 or more
8
Do you integrate any of the following activities into your exercise program?
Yes
No
1
2
Swimming
Biking
Hiking
Exercise Classes
Wii Fit
Other
9
If other ,please specify.
10
If you incorporate any of the above activities, how many time a week do you participate in them?
1-2
3-4
5-6
7 or more
11
What type of surface do you usually run on?
Concrete/road
Grass
Trail
Rubber Track
Sand
Treadmill
Other________
12
Have you ever sustained a running related injury?
13
If yes, what injury did you sustain?
14
Did this injury keep you from running?
15
Did you seek care from a health care professional?
Medical Doctor
Physical Therapist
Athletic Trainer
Exercise Physiologist
Self treat
Other
16
Would you like an injury screening where your posture, gait, and running biomechanics are assessed to determine your likelihood of injury?
17
Do you stretch before or after activity?
Always
Sometimes
Never
18
How do you choose a running shoe?
Brand
Color
Price
Fit
Other
19
What brand of running shoes do you wear?
Asics
Saucony
Nike
New Balance
Reebok
Addias
Mizuno
Brooks
Other
20
Have you ever been coached or involved in running scholastically?
Yes
No
21
How often do you attend Partners running club meetings?
Once a month
Once every 2 months
Once every 3-6 months
Once every 7-12 months
22
How many cups of water do you drink per day?
0-2
2-4
4-6
6-8
8 or more
23
How many 8 oz caffeinated beverages do you drink per day? (note: one can of soda = 12 oz)
0-2
2-4
4-6
6-8
8 or more
24
How many hours of sleep do you get per night?
less than 5 hours
5-6 hours
6-7 hours
8 or more hours
25
Please indicate your interest in the following topics.
Very Interested
Somewhat interested
Not interested
1
2
3
Proper shoe wear
Injury prevention techniques
Running in different environmental conditions
Running across the lifespan
aging affects
Stretching/Yoga
Training for performance
Common overuse injuries
The female athlete triad
26
How do you prefer to learn?
lecture
demonstration
hands-on application
literature/handouts
27
Do you have any comments/concerns/interests you would like to add?
