Free Sports Nutrition Assessment Questionnaire

Name (first & last):       

Email:       

Weight:       Height:       Age:    

Body Fat Percentage:    

What type of sport or exercise do you participate in?
 

If you are training for a specific event or race, what is it and what is the date of the event?

What is your typical weekly training schedule (day of the week, time of day, activity, and duration)?
 

What is your fuel and hydration schedule, if any?

Do you experience any adverse effects during or after exercise (muscle cramps, nausea, vomiting, bonking, stomach cramps, diarrhea, etc.)?
yes  no
If so, describe your symptoms:

Describe a typical day of eating:
  Breakfast:       
  Lunch:       
  Dinner:       
  Snacks:       
  Beverages/Fluids:       

What is your energy level? high  normal  low

Do you feel that you have reached your potential as an athlete? yes  no
Please explain:
 

Additional comments: