Athletic Nutrition Needs Questionnaire Athletic Nutrition Needs Questionnaire Please enable JavaScript in your browser to complete this form.Name *FirstLastDate1. What activities do you do? Please list all the types of physical activity/exercise / athletic training you do, and how much / often.Activity Type/How Often and How MuchExample: Recreational Hockey-On-ice training 2x weekly, 2 hours per session; 1 game per week; Walking-Daily, with the dog, 30 minutesAre you a professional, amateur, and / or devoted recreational athlete?Please check the appropriate box.Professional AthleteAmateur, compete at national or international levelAmateur, compete at regional (state / provincial) levelAmateur, compete at local levelI don’t compete, but I train like I doIf you compete, what phase are you in?Please check the appropriate box.Pre-season preparationRehab / injury recoveryOff-seasonCurrently in competitive seasonAdding up all your activities, approximately how many hours per week do you spend doing intense activity or competitive preparation?(e.g., skills training, strength & conditioning)Please check the appropriate box.Fewer than 5 hours5-910-1415-1920 or moreAdding up all your activities, approximately how many hours per week do you spend doing restorative, rehab, and / or recovery activities?(e.g., yoga, corrective exercises, hydrotherapyPlease check the appropriate box.Fewer than 5 hours5-910-1415-1920 or more2. Goals and prioritiesIn general, what are your goals? (Check all that apply.)Lose weight / fatGain weightMaintain weightAdd muscleImprove physical fitnessLook betterFeel betterBecome more consistentHave more energy and vitalityTake less medicationGet control of eating habitsGet strongerPhysique competition / modelingImprove athletic performanceRight now, which of these is your top priority? Why? If “Improve athletic performance” is one of your goals, please tell me more about what that might look like for you?What specific indicators would tell you that you’re improving in this area?Right now, do you have any specific concerns or questions about your sports nutrition? If so, what?3. Current habitsRight now, what do you normally eat and drink in the 1-2 hours before a training session or competition?Right now, what do you normally eat and / or drink during a training session or competition?Right now, what do you normally eat and drink in the 1-2 hours AFTER a training session or competition?Do you currently take any sports supplements? If yes, what?Yes or NoDoes your sport involve regular weight cuts? If yes, how much do you normally cut, over what period?Yes or NoWEIGHT CUTDURATIONRight now, do you feel any pressure to change your body size / shape, or maintain a certain weight or body fat percentage? If “yes”, please explain further.Yes or NoDoes your sport require you to travel often?Yes or No4. Athletic Training IndicatorsRight now, on a scale of 1-10, how would you rank your overall athletic performance? Why?Horrible to AwesomeCheck the number.12345678910Right now, on a scale of 1-10, how would you rank your overall recovery? Why?Horrible to AwesomeCheck the number.12345678910Right now, on a scale of 1-10, how would you rank your body composition? Why?Horrible to AwesomeCheck the number.12345678910Right now, on a scale of 1-10, how would you rank your energy for and interest in training? Why?Horrible to AwesomeCheck the number.12345678910Do you currently have any injuries or persistent aches and pains? If yes, what?Yes or No5. For WomenShould you normally be menstruating regularly?Yes or NoIf so, are you getting a regular period?Yes or NoPhoneSubmit
