Gait Analysis Form

1Personal

2Training History

3Videos Upload

Name(Required)

First Last

Email(Required)

Date

Training History

Training History(Required)

Recreational Fitness is for those who really just run for fun. Maybe dabble in workouts and train regularly but aren’t concerned with hardcore training. Recreational Competitive is someone who trains hard and is trying to perform at a high level (personally). Age Grouper- an athlete who is competitive in their age group. Pretty serious competitor. HS/College competitive- someone who is competing at these levels. Elite- Beyond what I would describe as a BQ type of athlete. This would be a person attempting to finish in top 100 of major races, to qualifying for championship events.

Running Surfaces(Required)

Check off what you spend the most time off. For instance, if you only run on trails once every couple months, don’t check it off. Keep it to weekly surfaces you are on.

road

bike path

trail

sidewalk

track

treadmill

Cross Training(Required)

What types of cross-training do you engage in on a regular basis

Biking

Swimming

Mobility

Strength

Elliptical/Elliptigo

How many years have you been running?(Required)

How long is your average long run?(Required)

Average number of runs per week?(Required)

Average weekly volume?(Required)

Tell me about your shoes(Required)

What type of shoes do you wear? Do you work out in the same shoes? How many miles are on your shoes? How long do you let your shoes go before replacing?

Do you wear inserts or orthotics?(Required)

Are you currently training?

If so, what's the goal race date?

Goal race name

Any recent changes in training?

Increased mileage

Increased workouts

New shoes or inserts

Hill training

Speed work

Change in terrain

Are you currently injured?(Required)

Injured may be a strong word here, but anything that’s causing discomfort on runs, please check yes and answer the following questions.

When you run, when do symptoms occur?

Tell us more about the injury

How long has it been going on? How has it changed since it came on? Have you received any treatment? Has it been diagnosed? Have you had any prior musculoskeletal inuries?

Videos

Below are spots to attach videos based on the instructions you have received. If you have Google Drive or Dropbox, there’s a spot to post that link instead.

File Link

File

Drop files here or

Max. file size: 100 MB.

Gait Analysis Collection Form

Training History

Videos