In order for Coach Komen to plan your training regimen, he must first evaluate your running history, current level of fitness, and general health. Please answer the questions on this form completely and as specifically as possible.
The information gathered here will be used solely by Wilson Komen for creating your training plan. He will not share your information with any other person or entity. Your personal information is strictly confidential. If you have any questions or concerns about completing this form, contact Coach Komen.
Please note that the coaching provided by Wilson Komen of Coach Kiprunning is not intended in any way as a substitution for professional medical advice. If you have questions or concerns about your exercise regimen, personal nutrition, injury status, or your overall health, please contact your primary care physician for further assistance.