Questionnaire

Personal details

Let's get to know you first

First name

Last name

Age

Gender

Height

Weight

Contact number

Your lifestyle

Tell us where you're currently at

What are your goals?

Do you want to gain mass or strength? Do you want to lose body fat? Do you want to increase your overall fitness? Do you want to increase muscle and shred a bit of fat? Do you want to lose weight? Etc.

Are you currently training?

This could be playing a sport, going to the gym etc. If so, what type?

If so, what type and how many times a week?

How many times a week can you train that is realistic to your lifestyle?

And what is the approximate duration of these sessions? (i.e. 45 min)

How active is your lifestyle outside of planned exercise?

i.e. is your job physically demanding or sedentary? Are you active or inactive on weekends?

Rank how busy/hard your day on a scale of 1-5

1 being easy/sedentary, for example, a desk job. 5 being tough, for example, a labourer or builders apprentice.

How intense are your workouts?

How much sleep do you typically get each night?

How would you rate your current stress levels?

Do you have any specific lifestyle or time constraints that make meal planning or food preparation challenging?

Do you often eat out or prepare most of your meals at home?

Do you often drink alcohol? If yes- how many times a week and how much?

Do you experience any digestive issues?

Have you worked with a nutritionist or dietitian before? If so, what did you find most helpful or challenging about that experience?

What challenges have you faced when it comes to maintaining healthy eating habits?

What does your typical pre-training, during-training, and post-training nutrition look like?

For individuals focused on the Performance Plan, please fill out the below:

What sport are you doing?

What are your goals?

How many hours per week do you dedicate to training?

Do you have any specific upcoming events or competitions? If so, when?

What level do you compete at?

What does a typical week of training look like for you? Please describe your sessions

What specific metrics or benchmarks do you use to measure your progress?

Your Diet

Let us know how you currently nourish yourself

What is your diet like at the moment?

Can you give me an idea of what you eat in a day? And the amount/portion size?

Are there any foods you don’t like, are allergic to or have an intolerance to?

This way I can avoid these foods when creating your meal plan.

How many meals would you prefer per day? (Type a number below)

What time of the day are you the most hungriest?

Do you drink coffee or any caffeinated drinks?

Is there a food you can't live without?

Like a cereal you have every day, or a muesli bar etc. This way we can see if we can fit it into your diet to make it more enjoyable :)

What’s your current water intake like?

Final details

Do you currently take any supplement? If so, what?

Do you currently use protein powder? If so what type?

Do you take any medication? If yes PLEASE specify.

Do you have any health risks/deseases?

High blood pressure, high cholesterol, diabetes etc

Have you had any major surgery in the last 6 months?

Have you ever struggled in the past with your relationship with food?

Please explain only if you're comfortable doing so.

Female only questions:

Are you pregnant and/or have you just given birth and are breast feeding?

Do you have Endometriosis? (Polycystic ovaries, thyroid dysfunction or hormonal imbalances?)

Are you Perimenopause or currently going through Menopause?

Thank you! Your submission has been received! We'll be in touch with next steps.

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