Athlete Nutrition Questionnaire
This is designed to assist in designing your optimal food plan
Email address *
ABOUT YOU
Help me understand you a little bit better before we catch up on the phone
Name, Age, Telephone number *
Where do you live? *
Tell me about you. *
Training Peaks/Todays Plan/Etc Login Details (if you have it let me know which one)
Next event you are competing in?
MyFitnessPal Username and Password (if you have one, if not, create one please :)
Waist Circumference Measurement INCHES (the narrowest part of your waist) *
Your height in INCHES *
Current Weight and Goal Weight for competition *
Have you had a DEXA scan or other body composition assessment?
Clear selection
What were the results? Please send me a PDF if you have them.
Have you worked with a nutritionist before? *
What are you wanting to achieve by working with me?
What are your goals/ambitions this year?
What areas do you see as ones you can work on?
TRAINING
Understanding your demands is KEY to your nutrition program.
Who is your coach and what are their details?
Hours of training/exercise per week (average) *
NUTRITION SPECIFICS
This helps me understand what you know about nutrition
My food preference is: *
These are the foods I you prefer to eat for breakfast *
Required
These are the foods I you prefer to eat for lunch & dinner *
Required
These are the foods I you prefer to eat for snacks *
Required
Endurance athletes: Do you practice/train your carb consumption (gels/bloks) during training?
Clear selection
Endurance athletes: How often do you practice/train your carb consumption (gels/bloks) during training?
Clear selection
Endurance athletes: Do you practice/train your fluid consumption (carbs/H20/electrolyte) during training?
Clear selection
Endurance athletes: How often do you practice/train your fluid consumption (carbs/H20/electrolyte) during training?
Clear selection
What's your view on protein? How much do you eat daily? Why do you do this? *
What's your view on carbs? How much do you eat daily? Why do you do this? *
What's your view on fat? How much do you eat daily? Why do you do this? *
These are the foods I dislike or refuse to eat *
Do you like to eat the same foods on a regular basis?
Clear selection
How many servings (fists) of vegetables do you eat per day (avg)?
Clear selection
How many pieces of fruit do you eat per day (avg)?
Clear selection
HEALTH & MEDICAL
To get a better understanding of any medical issues
Past Medical History *
I have a real food allergy to; *
Required
I get adverse symptoms (bloating, coughing, reactions etc) from these foods *
Required
Where were you tested? By whom? What was the test? What was the result? In the past 2 years, these are the tests I have had completed on myself. Can you share the results?
SUPPLEMENTS
They are part of a nutritional program.
I take the following supplements *
Required
Are they NSF?
Clear selection
What electrolyte do you prefer to drink?
LIFESTYLE
Nutrition has to be practical, it starts at home.
Do you cook at home? *
I am happy to weigh food (at least initially) to gain an understanding of portion size? *
Strongly Disagree
Strongly Agree
Any religious beliefs that influence your food choice or intake?
Alcohol - what, how often and how much do you drink? *
Do you have difficulty sleeping?
Clear selection
How many hours on average do you get per night?
Clear selection
What temperature do you sleep in?
Clear selection
CAFFEINE
Caffeine is a powerful stimulant and can be both positive and negative in terms of performance
How many cups coffee per day do you drink? *
What's the latest you drink coffee?
Clear selection
SICKNESS
Sickness means missing competition and training - we want to reduce this.
Do you get sick through the season?
Clear selection
Detail your sickness, including time of year.
How did you hear about Tinlane? (select all that apply) *
Required
Anything you want to add to assist the process?
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