La Ultra Mentoring Registration

Name *

First

Last

Email *

Phone *

Gender *

Age *

Social Media Handles *

Please provide your social media handles (Facebook/Twitter/Instagram/YouTube etc)

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Are you part of a running or fitness group? If yes, which one? *

How did you get to know about this program? *

What do you know about La Ultra - The High? If you do know about it, what do you think of it? *

What is your goal to join this program? *

Couch to 5 km (maybe You have exercised before or not)
5 to 11 km
11 to 22 km

Besides the distance, why else do you want to join this program? *

Please share average daily plan (broadly) for a week in last one month so we can build on that. Please let it be as detailed as you like. It should include TV and gadget time, sitting, walking, running, gym, what in gym, other exercise, eating, sleeping, etc.

Weekday *

Weekend *

Who else in the family is active? Do they encourage you or do you motivated by seeing them? As much as you can share please. *

Please share injuries you have had courtesy sports and fitness journey? *

Please share your medical history so we know really well what all are we dealing with? *

Do you use any wearable technology like iWatch, Suunto, Garmin etc. to monitor your fitness or running? If yes, which ones and how? Do you find them useful and how? What do you think you get from them? *

Do you use apps like Strava to record your running, cycling etc? If yes, which one and do you find them useful? *

Which shoes do you wear? Do you think you are a loyalist or like one over the other? Why? Any shoes you hate or you think injured you? *

What about running or fitness gear? Which brand? What kind of clothes? *

Please share your nutritional / dietary habits on a regular day and while exercising? What do you eat? When do you eat? Experimenting or regularly doing intermittent fasting? Are you able to stick to what you would like? Do you have fixed eating times? Who do you look up to for this advice? *

How long do you sleep (in hrs)? *

Do you sleep well? *

1 - Awesome 2 - Pathetic

Do you get up fresh?

Share more about sleep? What time do you sleep and get up? Is it regular or pretty random? *

Emotionally / Psychologically how are things on personal and professional front? Please share as much as you are comfortable with. It is the most important point. *

On a scale of 10, how would you rate your stress? *

1 - No Stress 2 - Can’t possibly get worse

If we have missed anything above that you think is important, please share. It could be things like how you tried earlier but stumbled repeatedly or succeeded, kind of coaches / trainers you’ve had, demotivated because of whatever reason etc. Please as much as you can and anything that comes to mind is relevant, so please go for it. *

La Ultra Mentoring

Please share average daily plan (broadly) for a week in last one month so we can build on that. Please let it be as detailed as you like. It should include TV and gadget time, sitting, walking, running, gym, what in gym, other exercise, eating, sleeping, etc.

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