RunningRewire Application Form

You’re here because you’re ready for change - and that’s a huge step forwards in how you want the future you to feel and run.

Before we jump in, I just need a few details so I can understand where you’re at, what you need, and whether my coaching style is the right fit for you.

Once I’ve read everything, I’ll be in touch with your next steps. No pressure. No commitments. Just a chat to help you move forwards.

Section 1 : About You

First name

Last name

Email

Phone

Age

Occupation

Section 2 : Your Running Background

Tell me a little about your running story so far.

Section 3 : Your Goals

What are your current goals?

What’s the dream outcome over the next 6–12 months?

Any races already booked?

Please provide race names and dates

Section 4 : Your Current Situation

Are you experiencing any peri/menopause symptoms that affect your running?

Any injuries or medical considerations I should know about?

What does your typical week look like at the moment?

Section 5 : Coaching Fit

What made you feel that now is the right time to get support?

Are you interested in:

Monthly 1:1 remote coaching

Hybrid coaching (running + mindset + menopause support)

Not sure yet - I need guidance

Section 6 : Final Steps

Anything else you want me to know?