This questionnaire has been designed to establish your personal requirements for maintaining good health while optimising your performance, both during training and in competition. One size doesn't fit all..

Designed to find out key challenges and areas looking to improve. Please answer all of the questions below by ticking the appropriate box. We can then make recommendations re fuelling, refuelling, hydration, repair and recovery relevant to your sport.

SECTION A -GENERAL HEALTH

1. Have you ever suffered from any of the following:

a. Asthma       YesNo

b. Diabetes      YesNo

(If yes, are you insulin-dependent?)     YesNo

c. Joint pain / swelling      YesNo

d. Stress          YesNo

e. Headaches (particularly after exercising)      YesNo

2. Do you suffer from frequent colds / flu     YesNo

3. Do you suffer from a lack of energy?       YesNo

4.Comments on overall health:

SECTION B - CURRENT OVERALL NUTRITION

5. Do you eat regular meals?           YesNo

6. Do you eat a well-balanced diet?      YesNo

7. Do you think you get the recommended vitamin

and mineral intake from the food you eat?      YesNo

8.What does your typical daily diet consist of?:

Breakfast e.g. cereal/toast

Mid morning e.g. fruit, chocolate bar

Lunch

Mid afternoon

Dinner

After dinner

9.What liquids do you consume during the day? e.g. 2 x cups coffee,1 x tea, 3 glasses plain water.

10. Any cravings? e.g. sugar, carbohydrates

11. Current fuelling and refuelling routine. What to you take pre and post exercise if anything. And pre and post match etc

12.Current emphasis placed on diet and nutrition alongside training, technique and mental preparation as a means of improving overall performance. e.g. High/Some attention/Ignored

13. Do you currently take any sports nutrition foods/supplements/beverages. If yes, what do you take?

SECTION C - AREAS YOU WOULD LIKE TO IMPROVE

14. Areas of particular interest

Building stamina? Yes No

Helping my concentration Yes No

More energy, shake-off that sluggish feeling? Yes No

Help my agility, joints? Yes No

Faster recovery time  Yes No

Less injuries or illness? Yes No

Losing weight? Yes No

Gaining weight? Yes  No

Building muscle Yes  No

15.Main priority? Your biggest challenge? Area you most want to improve? Do you have questions you would like answering. A recommended programme? Other areas of interest/comments.

16.How old are you?

17.How tall are you?

18.Approx weight?

19.What is your ideal goal weight?

20.Which sport/s are you involved with?

21.What is your involvement in sports? 

Junior               

Senior              

Manager/ Trainer

22. How serious would you say you are about your sport?

1. Extremely serious              

2. Fairly serious                    

3. It is more of a hobby         

23. How serious would you say you are about maintaining long term good health by looking after your body now?

1. Extremely serious              

2. Fairly serious                    

3. It doesn’t really worry me   

24.How much would you be prepared to spend per day to achieve your goal?

Less than £1.00

£2.00

£3.00

£4.00

£5.00

25. Belong to a sports club and interested in helping the club make extra funds through an affiliate scheme?

Yes No

Club have a web site? Yes No

25. How did you make contact with us?

Name 

Email: 

Telephone Evening 

Telephone Day

Mobile

Best time and day to call Advice provided on landline telephones between 10am -9pm. And Saturday 10am -4pm on landline telephones. . If your "hard to contact" or don't have a landline number please call us on 01932 889236. Please contact us at least 30 mins after sending the questionnaire.

Please check your contact details or we cant help you..