Health & Performance Supplements - Client Questionnaire

Your personal and health information is collected only to create your tailored supplement plan.

All information is stored securely on our GDPR-compliant servers, encrypted, and accessible only to our team members who need it. You have full control over your data, including the right to access, update, or request deletion. We will never share your data without your consent.

This questionnaire should take you around 5-10 minutes to complete. It has been designed by our world-class nutrition team.

Section 1 of 6: Your Goals

We ask about your goals so we can design a supplement plan that’s aligned with what matters most to you, while helping you maximise your health and performance.

Q1. What are your health and performance goals? (Select as many as you like)

Q2. What are your top 3 priority health and performance goals? (Choose 3 only)

Q3. Are you currently training for a specific athletic event(s)?

Q4. If yes, which event(s) are you preparing for? (select all that apply)

Section 2 of 6: Your Symptoms

We ask about your symptoms to understand how you’re feeling day-to-day and to tailor supplement support to your specific needs.

Q5. What symptoms do you have around Energy & Sleep? (Select all that apply)

Q6. What symptoms do you have around Mood & Cognition? (Select all that apply)

Q7. What symptoms do you have around Gut Health? (Select all that apply)

Q8. What Hormonal & Metabolic symptoms do you have? (Select all that apply)

Q9. What symptoms do you have around Recovery, Inflammation & Pain? (Select all that apply)

Q10. What symptoms do you have around Immunity & Skin? (Select all that apply)

Q11. What symptoms do you have around Detoxification and Elimination? (Select all that apply)

Section 3 of 6: Lifestyle

Q12. How many days per week do you exercise for at least 45 minutes?

Q13. What % of your exercise sessions are 'hard' or 'high intensity'?

Q14. How many hours do you typically sleep per night?

Q15. How well do you sleep?

Q16. Do you smoke or vape?

Q17. How many alcoholic drinks do you typically have per week? (1 drink = 175 ml wine, or 330 ml beer, or 25 ml spirits)

Q18. Occupation / job activity level

Q19. How would you rate your current stress levels or life demands?

Section 4 of 6: Medical History

We ask about your current medications, supplements, medical conditions, and allergies so we can ensure your plan is safe, avoid harmful dosages or double-dosing, and prevent any potential interactions.

Q20. Do you have any diagnosed medical conditions?

Q21. Do you take any prescription or over-the-counter medications regularly?

Q22. Please list any supplements you are currently taking

Q23. Please list any allergies or intolerances

Q24. Have you had any recent nutrition related blood tests which show out of range markers? If so, please share here:

Q25. Would you be interested in relevant blood testing in the future to help further tailor your supplement protocol?

Section 5 of 6: Eating Patterns

We ask about your dietary patterns so we can understand your nutrition habits and create a supplement plan that fills the right gaps

Q26. On average, how much meat (animal protein) do you eat every day? (1 palm of your hand = 25g)

Q27. How often do you eat oily fish?

Q28. How many servings of vegetables do you usually eat per day? (1 fist = 1 serving)

Q29. How many servings of fruit do you usually eat per day? (1 fist = 1 serving)

Q30. What % of your diet is 'packaged foods' (ready to eat/heat up e.g. ready meals, bottled sauces, boxed breakfast cereals, takeaways) vs 'whole foods' (natural, minimally processed e.g. fruit, vegetables, nuts, eggs, fish, meat)?

Q31. How much water do you drink per day?

Q32. How many caffeinated drinks (e.g. tea, coffee) do you consume per day?

Q33. How many soft drinks (e.g. fizzy soda, energy drinks) do you consumer per day?

Section 6: Final Wrap-up & Consent