Personalized Running Gait Assessment Form
Basic Information
Full Name
Age
Date
Gender
Male
Female
Other
Height (cm)
Weight (kg)
Running History
Running Experience (years)
Average Weekly Distance (km)
Usual Running Terrain
Road
Trail
Track
Treadmill
Injury & Pain History
Current or Previous Injuries (describe)
Area(s) of Pain During/After Running
Running Goals
What are your current running goals?
Gait Observation
Describe your stride (if known)
Foot Strike Pattern
Heel
Midfoot
Forefoot
Unsure
Estimated Running Cadence (steps/min)
Additional Comments/Observations