PRT Coaching Initial Assessment Form

Please answer completely and with all honesty. This will be our basis for your training.

Personal Information

Name (Full Name) *

Birthday & Age *

ex. Jan 1, 1995 - 30 years old

Height (Centimeters) *

Current Weight (Kilograms) *

Email address *

Contact number *

Running Background & Experience

When did you start running? *

What is your Strava account? *

name or strava link

Do you have a smartwatch? *

If yes, input the brand and model. If none, write NA

Running experience (select all that apply) *

Current personal records *

Enter your best time for each distance. Leave blank if not applicable. Format: MM:SS or H:MM:SS

5KM

10KM

21KM (Half Marathon)

42KM (Marathon)

What is your ultimate goal? *

ex. to lose weight, to run faster, to get podium finish. Please be specific

When can you start? *

Health & Medical

Are you currently pregnant, planning pregnancy, or postpartum? *

write N/A if none or if you're a male

Do you experience heavy menstrual symptoms that affect your training? *

fatigue, cramps, etc. Write N/A if none or if you're a male

Do you have any menstrual-related conditions? *

e.g. PCOS, endometriosis, irregular periods. Write N/A if none or if you're a male

Current or past medical conditions *

e.g. heart disease, diabetes, asthma, epilepsy

Do you experience chest pain, dizziness, or shortness of breath during physical activity? *

Do you have past or existing injury? *

Training Preferences

Which type of training do you prefer? *

Traditional Training (mileage-based)Run-Walk Training (effort-based)

Please list down ALL the races you registered for *

by date and distance, and identify the priority race

What is your current weekly mileage? *

ex. 50km per week

What type of physical activities do you currently participate in? *

cycling, swimming, etc.

How many times a week can you train and which days? *

ex. 3 times - MWF

Do you have access to indoor gym? *

gym membership, condo gym, etc.

YesNo

How long can you run straight and at what pace? *

example: I can run straight for 100 meters at 9:00min/km

Coaching Package Selection

Which coaching package are you most interested in? *

Tap a package to select it. Please ask for the updated slide deck from Coach Ken

Payment

Account Name: KEN ANDREW MANDIGMA

Paypal: mandigma.ken@gmail.com

GCash

Maya

MariBank (SeaBank)

You may pay an initial down payment — no need to pay the full amount upfront. Just enter how much you paid below and upload your proof of payment.

Payment Method *

Amount Paid (Php) *

Initial down payment — partial payment is OK

Upload Proof of Payment *

Click to upload payment screenshot

PRT Coaching Initial Assessment Form

Personal Information

Running Background & Experience

Health & Medical

Training Preferences

Coaching Package Selection

Trial Package

Nutrition Consultation

Nutrition Plan

Strength Training Programs

Nutrition Plan + Strength Training

Progressive Package

Marathon Training

Progressive Package Plus

Marathon Training Plus

The Dream Marathon

The Dream Marathon Plus

Payment