Online Sports Nutrition Consultancy
Completing this form will allow me to get more information about your current training, diet, food preference etc so I can tailor the service to your individual goals and requirements
Name *
Your answer
Date Of Birth *
Your answer
Height *
Your answer
Weight *
Your answer
Email Address *
Your answer
Sport + Short Description of Position/Discipline *
Your answer
Occupation + Short Description of Role if Applicable *
Your answer
What are your main objectives to achieve from working with me? *
Your answer
How would you rate your activity levels *
Please give an overview of your current diet/dietary habits *
Your answer
Please list your usual forms of exercise (Including duration, intensity and types of exercise as well as how often you do each) *
Your answer
Do you suffer or have you been diagnosed with any medical condition? Please detail where appropriate *
Your answer
Please list any dietary allergies? *
Your answer
Do you limit your food intake due to any of the following lifestyle choices? *
Required
How would you prepare nutritionally before training/competition? (I.e. What would you eat/drink before a session? Please describe quantities, volumes and types of food/drink. *
Your answer
What would you eat/drink during training/competition? (i.e. Carbohydrate gels, water, sports drinks etc) *
Your answer
What would you eat/drink after training/competition (Please describe quantities/volumes where possible) *
Your answer
Do you use any of the following? *
Required
If you use sports nutrition supplements, please list the brand and description *
Your answer
Do you limit your food intake for religious reasons? If Yes, please give further details *
Your answer
Which of the following best describes your food shopping habits? *
Which of the following best describes your food preparation habits? *
Required
How would you describe your appetite? *
Do you enjoy eating food? *
Do you eat at the same time every day? *
If you regularly skip meals, please select the meal you skip the most *
Do you drink milk? *
Are there any foods you eat regularly because you think they are healthy? *
Your answer
Are there any foods you avoid because you think they are unhealthy? *
Your answer
Are there any foods you eat regularly because you like them? *
Your answer
Are there any foods you avoid because you don't like them? *
Your answer
Do you drink alcohol? *
Please add any additional notes you feel would be useful
Your answer
Please indicate how you found me
I consent to the requested services to be carried out in accordance to data protection laws. *
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