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Health & Performance Supplements - Client Questionnaire
This questionnaire contains 49 questions (mainly drop-downs with minimal typing), and should take you around 10-15 minutes to complete. It has been designed by our world-class nutrition team.
Section 1 of 7: Anthropometrics
Q1. Age
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Q2. Height (cm)
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Q3. Weight (kg)
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Q4. Occupation / job activity level
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Section 2 of 7: Goals
Q5. What are your Top 3 health and performance goals? (Choose 3 only)
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Q5. What are your Top 3 health and performance goals? (Choose 3 only)
Q6. What is your number 1 priority health and performance goal? (Choose 1 only)
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Q6. What is your number 1 priority health and performance goal? (Choose 1 only)
Q7. Are you currently training for a specific athletic event(s)?
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Q8. If yes, which event(s) are you preparing for? (select all that apply)
Q8. If yes, which event(s) are you preparing for? (select all that apply)
Section 3 of 7: Current Supplement Use
Q9.
If you are planning on continuing any supplements you currently take, please list them so that we can avoid excess dosing and duplication, and manage interactions.
Q10. Please list any supplements you do not tolerate well or wish to avoid
Q11. Are there any supplement formats you do not tolerate well or wish to avoid?
Q12. How many supplements would you be comfortable taking daily?
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Section 4 of 7: Lifestyle & Training
Q13. How many days per week do you exercise?
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Q14. What types of training do you currently do?
Q14. What types of training do you currently do?
Q15. On average, how long is each training session?
Q16. What % of your exercise sessions are 'hard' or 'high intensity'?
Q17. How would you describe your ability to recover from exercise?
Q18. How many hours do you typically sleep per night?
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Q19. How well do you sleep?
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Q20. Do you do shift work?
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Q21. How would you rate your current stress levels or life demands?
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Section 5 of 7: Medical History & Symptoms
Block A: General & Family History
Q22. Are you pregnant or breastfeeding?
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Q23. Do you have any diagnosed medical conditions?
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Q24. Have you had any major surgeries or hospitalisations?
Q25. Do
you take any prescription or over-the-counter medications regularly?
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Q26. Please list any allergies or intolerances
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Q27. Is there a history in your family of any of the following health conditions? (select all that apply)
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Q27. Is there a history in your family of any of the following health conditions? (select all that apply)
Q28. Have you had any recent nutrition related blood tests which show out of range markers? If so, please share here:
Q29. Would you be interested in relevant blood testing in the future to help further tailor your supplement protocol?
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Q30. Do you smoke or vape?
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Q31. How many alcoholic drinks do you typically have per week? (1 drink = 175 ml wine, or 330 ml beer, or 25 ml spirits)
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Block B: Symptoms (select all that apply)
Q32. What symptoms do you have around Energy & Sleep?
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Q32. What symptoms do you have around Energy & Sleep?
Q33. What symptoms do you have around Mood & Cognition?
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Q33. What symptoms do you have around Mood & Cognition?
Q34. What symptoms do you have around Gut Health?
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Q34. What symptoms do you have around Gut Health?
Q35. What Hormonal & Metabolic symptoms do you have?
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Q35. What Hormonal & Metabolic symptoms do you have?
Q36. What symptoms do you have around Recovery, Inflammation & Pain?
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Q36. What symptoms do you have around Recovery, Inflammation & Pain?
Q37. What symptoms do you have around Immunity & Skin?
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Q37. What symptoms do you have around Immunity & Skin?
Q38. What symptoms do you have around Detoxification and Elimination?
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Q38. What symptoms do you have around Detoxification and Elimination?
Q39. Do you have any diagnosed mental health conditions? (select all that apply)
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Q39. Do you have any diagnosed mental health conditions? (select all that apply)
Section 6 of 7: Eating Patterns
Q40. Which word best describes your current eating pattern?
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Q41. On average, how much protein do you eat daily? (Use the palm of your hand to estimate: 1 palm of animal protein = 25g; 1 palm of plant protein/dairy = 10g)
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Q42. How often do you eat oily fish?
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Q43. How many servings of vegetables do you usually eat per day? (1 fist = 1 serving)
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Q44. How many servings of fruit do you usually eat per day? (1 fist = 1 serving)
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Section 7: Final Wrap-up & Consent
Q45. Is there anything else about your health, lifestyle, or goals that you’d like us to know?
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Q46. Do you consent to us securely processing your data to create your personalised plan?
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Q47. First name
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Q48. E-mail
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Q49. Country of residence for shipping (note: we are currently unable to ship to Spain)
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Submit