DST Nutrition Questionnaire
Reach out to Mackenzie@dynamicsportstraining.com with any questions

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Name (First, Last)
Age

Height

Weight
What sports do you play?
How many days per week do you practice?
How many days per week do you strength or speed train?

Do you eat before or after training? What do you eat?

What time do you go to bed?
Time
:
What time do you wake up?
Time
:

What do you normally eat for breakfast? (click all that apply)

What time do you eat breakfast?
Time
:

What do you normally eat for lunch? (click all that apply)

What time do you eat lunch?
Time
:

What do you normally eat for dinner?

What time do you eat dinner?
Time
:

What do you have for snacks and when do you have snacks throughout the day?

How many meals do you eat in a day?

How many snacks do you usually have in a day? 

Are you taking any medication or supplements? If so, what are you taking?

List 3 things you DO well nutritionally?

List 3 things you DO NOT do well nutritionally?

How much water do you drink in a day? 

How much caffeine do you drink in a day? 
Do you drink soda? How many in one day?

What are 2 specific goals you have nutritionally?

What are 2 broad goals you have nutritionally? 

What do you want nutritional help with?
Are you interested in nutrition coaching?
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What is your email?
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