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Running Injury Assessment & Screening Form

Take a detailed injury intake for a running physio or movement screen, capturing the problem, pain, and history in one form.

Description

The Running Injury Assessment and Screening Form gives physios and specialists a detailed way to intake a runner’s injury. It captures the problem in the runner’s own words, where the pain is, when it started, and how bad it is at its worst, so you understand the injury before the runner arrives.

Fields for when it hurts, whether they have had to stop running, what they have tried, their usual mileage, and any recent changes before it started build a full picture, while a consent step and contact details complete the intake. Capturing all this means a focused, effective assessment.

Understanding the injury is the first step to fixing it. Sign up for a free Fun Forms account to customize the fields and embed this form on your website.

Form fields

Everything the Running Injury Assessment & Screening Form above collects — 14 fields across 2 pages, so you can see exactly what it captures before you make it your own.

Let's Sort That Injury

  • What's the problem, in your own words?

    Long Answer Icon
    Long Answer

  • Where's the pain?

    Dropdown Icon
    Dropdown

  • When did it start?

    Dropdown Icon
    Dropdown

  • How bad is the pain at its worst?

    Scale Icon
    Scale

  • When does it hurt?

    Dropdown Icon
    Dropdown

  • Have you had to stop running because of it?

    Yes/No Icon
    Yes/No

  • What have you tried so far?

    Long Answer Icon
    Long Answer

  • Your usual weekly mileage before this

    Number Icon
    Number

  • Any recent changes before it started?

    Multi-Select Icon
    Multi-Select

Your Details

  • Your name

    Name Icon
    Name

  • Email address

    Email Icon
    Email

  • Contact number

    Telephone Icon
    Telephone

  • Date of birth

    Date Icon
    Date

  • Consent

    Consent Icon
    Consent
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Template FAQs

Common questions about the Running Injury Assessment & Screening Form — what it captures, when to use it, and how to make it your own.

What is a running injury assessment and screening form?

A running injury assessment and screening form is an online form used to intake a runner’s injury before a physio or movement screen. It captures the problem, pain, and history, so a specialist can prepare and deliver a focused, effective assessment.

Why ask about recent changes before the injury started?

Running injuries often follow a change in training, such as more mileage, new shoes, or harder sessions. Asking about recent changes helps identify the likely cause, so the assessment and treatment address why it happened, not just the symptom, reducing the chance it returns.

Why ask what a runner has tried so far?

Knowing what a runner has already tried, from rest to stretches or other treatment, tells the specialist what has and has not helped. It avoids repeating approaches that failed and helps them build on anything that eased the pain, making the assessment more efficient.

Why ask whether they’ve stopped running?

Knowing whether the injury has forced a runner to stop indicates its severity and impact. It helps the specialist gauge how serious the problem is and how urgently it needs addressing, and understand what returning to running safely will involve for this runner.

Why capture usual weekly mileage?

A runner’s usual mileage before the injury shows their training load, which is central to understanding and managing the problem. It helps the specialist judge whether load played a part and plan a safe return, building back up sensibly rather than straight to previous volume.

Is the running injury assessment and screening form free?

Yes, this running injury assessment and screening form is completely free, and you can customize the fields to fit your practice, embed it on your website, and go live with no coding required. Just create a free Fun Forms account to start assessing runners online.

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