Ultra-marathon Self-Efficacy Questionnaire

SELF-EFFICACY QUESTIONNAIRE

* Indicates required field

Name *

First

Last

Email *

List the Race or Event you are filling out this survey for. *

If other, please list below *

Rate your degree of confidence that you possess right now for the upcoming ultra-marathon event by recording a number from 0 to 100 using the scale provided below. Many of these questions are hypothetical, you may have never or never will experience them, but if you did this rates how it would effect your ability to continue.

For the first question "Navigate the entire course without getting lost" (ex. you feel that you will not get lost regardless of the course, you would put a 100. If you always get lost you would put a lower number such as 0 or 10)

0          10          20          30          40          50          60          70          80          90          100
Cannot                                           Moderately Can                                   Highly Certain
Do At All                                                    Do                                                       Can Do

General Questions: General questions about your race experience.

Navigate the entire course without getting lost *

Maintain a good mood throughout my event *

Complete 25 miles *

Complete 50 miles *

Complete 75 miles *

Complete 100 miles *

Remain adequately hydrated *

Maintain adequate nutrition *

Complete my planned distance without injury *

Complete my planned distance without excessive exertion *

Complete my planned distance without excessive pain *

Complete my planned distance within my planned time *

Have trained adequately for this event *

Will finish in the top percentage of my age/gender group *

Will finish in the top percentage overall *

Complete my planned event in extreme weather *

BLISTERS: for this section fill it out assuming you have blisters in the below listed location.
0          10          20          30          40          50          60          70          80          90          100
Cannot                                           Moderately Can                                   Highly Certain
Do At All                                                    Do                                                       Can Do

If you develop blisters in general *

Blisters on toes *

Blisters on the sides of your feet *

Blisters on the balls of your feet *

Blisters on your heels *

Blisters on your mid foot/arch *

Blisters on the top of your feet *

Continue if your blisters were drained *

PAIN: How confident are you that you can complete your race with pain in the any of the following locations

0          10          20          30          40          50          60          70          80          90          100
Cannot                                           Moderately Can                                   Highly Certain
Do At All                                                    Do                                                       Can Do

Foot *

Ankle *

Lower leg *

Knee *

Thigh *

Hip *

Pelvic Region *

Low Back *

Upper Back *

Neck *

Shoulder/arm *

Abdominal Region *

Chest *

Head *

General Symptoms: How confident are you that you can continue with any of the following symptoms

0          10          20          30          40          50          60          70          80          90          100
Cannot                                           Moderately Can                                   Highly Certain
Do At All                                                    Do                                                       Can Do

Headache *

Dizziness *

Indigestion/Heartburn *

Sloshing stomach/cant digest *

Bloating *

Vomiting *

Constipation *

Diarrhea *

Urinary pain *

Lack of urination *

Bloody urination *

Urinary tract infection UTI *

Environmental Conditions: If you experience any of the follow conditions during the race how confident are you that you can continue the race

0          10          20          30          40          50          60          70          80          90          100
Cannot                                           Moderately Can                                   Highly Certain
Do At All                                                    Do                                                       Can Do

Too Hot *

Too Cold *

Rain *

Wet/muddy trails *

Emotions: If you experience any of the follow mental emotions during the race how confident are you that you can continue the race
0          10          20          30          40          50          60          70          80          90          100
Cannot                                           Moderately Can                                   Highly Certain
Do At All                                                    Do                                                       Can Do

Alone *

Sad *

Depressed *

Scared *

Frustration *

Anger/Mad/upset *

Submit

I am an Elephant and you cannot stop me!

SELF-EFFICACY QUESTIONNAIRE