Nutrition Questionnaire

Please fill out the below questionnaire to the best of your ability.

Name

First Name

Last Name

Email Address

Phone

Emergency Contact Info

Date of Birth

Height

Weight

Measurements, if available

Body Fat Percentage, if available (please note modality in which this is captured - DEXA scan, BodPod, Calipers, at-home body scale)

Do you have any medical conditions? Please check all that apply and elaborate below.

Heart Condition

High Blood Pressure

Metabolic Syndrome

Diabetes

Respiratory Illness (asthma,, etc.)

PCOS

Other

Please list any medications or supplements, either over the counter or prescription, that you are currently taking.

Are you nursing or pregnant?

Are you currently menstruating?

Please list any dietary restrictions, allergies or dietary pattern preferences.

Please list the top three goals you're seeking in partnership.

Are you currently on a specific training plan with a coach? If so, please describe this plan (hours/week; general activity split).

Describe your current preference for timing the completion of workouts in a given week. Do you workout in the mornings, afternoons, evenings, multiple times per day?

Elaborate on your lifestyle, specifically your family, work, travel or other obligations that might be relevant when designing a plan.

Outside of active exercise sessions, describe your activity level at your job on a scale of 1 to 5 with 1 being sedentary desk job and 5 requiring activity/labor/being on your feet.

Please elaborate on your upcoming race schedule, including goal races and current paces by discipline.

Please elaborate on your nutrition and macro tracking experience. Are you comfortable tracking and logging in MyFitnessPal?

On average, how many hours per night do you sleep? Do you have consistent sleep-wake times, what are they, and/or do these vary across the week?

In general, please describe your energy levels and, assign a number between 1 and 5, with 1 meaning no energy and 5 meaning high energy.

In general, please describe your stress levels (including any key stressors), and assign a number between 1 and 5 with 1 meaning stress-free and 5 meaning high-stress.

Describe how you normally cope with stress or how you decompress.

Describe your current (and preferred, if they differ) eating schedule. Said another way: how many meals do you prefer to eat per day (including snacks)?

Describe your hydration. How much water do you drink per day?

Describe your current fueling and hydration strategy before and during a workout.

Describe your current fueling and hydration strategy before and during a race.

Please list current grocery stores or meal delivery services you visit and/or utilize.