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High Performance Supplements
Client questionnaire 2025
1. Profile
Full name
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E-mail
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Age
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Gender
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Height (cm)
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Weight (kg)
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What country do you live in?
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2. Health & Performance Goals
What are your health and performance goals? (you can select more than one)
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What are your health and performance goals? (you can select more than one)
What is your ideal supplement strategy?
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What is your monthly supplement budget?
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3. Current Supplement Use
Do you currently take supplements?
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If yes, please tell us what you take, in what dosage and how often
What supplements have worked well for you?
Are there any supplements you would like us to avoid?
4. Your Current Symptoms (click all that apply to you)
What symptoms do you have around Energy & Sleep?
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What symptoms do you have around Energy & Sleep?
What symptoms do you have around Mood & Cognition?
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What symptoms do you have around Mood & Cognition?
What symptoms do you have around Gut Health?
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What symptoms do you have around Gut Health?
What Hormonal & Metabolic symptoms do you have?
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What Hormonal & Metabolic symptoms do you have?
What symptoms do you have around Recovery, Inflammation & Pain?
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What symptoms do you have around Recovery, Inflammation & Pain?
What symptoms do you have around Immunity & Skin
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What symptoms do you have around Immunity & Skin
What symptoms do you have around Detoxification & Elimination
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What symptoms do you have around Detoxification & Elimination
5. Current Medical Status (click all that apply to you)
Are you managing or experiencing any of the following?
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Are you managing or experiencing any of the following?
Are you taking any prescribed medication?
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If you are currently taking prescribed medication, please list the type, dosage and frequency here
6. Personal Medical History (click all that apply to you)
Have you ever been diagnosed with any of the following?
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Have you ever been diagnosed with any of the following?
Have you ever had any of the following procedures or events?
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Have you ever had any of the following procedures or events?
7. Family Medical History (click all that apply)
Do any of your close family members have a history of any of the following?
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Do any of your close family members have a history of any of the following?
8. Diet & Lifestyle
How would you describe your diet quality?
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What word(s) best describes your diet?
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What word(s) best describes your diet?
Do you have any food allergies or intolerances?
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If you have any food allergies or intolerances, please list them here
How many servings of vegetables do you eat per day?
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How many alcoholic drinks do you have per week?
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Do you smoke or vape?
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9. Training & Recovery
How many days per week do you do some kind of physical training?
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What is your typical training session duration?
What types of training do you do every week? (click all that apply to you)
What types of training do you do every week? (click all that apply to you)
How would you rate your recovery from a medium-intensity / medium effort training session?
10. Final Note
If there is anything else you'd like us to consider when personalising your supplement protocol, please mention it here
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