[usefulcoach] Climbing Nutrition Coaching

Thank you for your interest in a coaching slot.

Before you complete this form, please make sure you understand the next available coaching start dates and pricing detailed here: http://coaching.useful.coach

Please complete the form below in application. I typically respond within 2 weeks.

Understand that coaching spaces are very limited, so please provide enough detail in your answers so that I can understand your situation. My choice to accept applications is based on whether I think we can work well together.

If you have any questions about anything before completing this form, please email coaching@useful.coach

This form does allow you to save and come back later to finish.
[usefulcoach] Climbing Nutrition Coaching

Please complete this profile form so I can best understand your needs
Which coaching package are you interested in?

6 Weeks 12 Weeks
Name

First Name Last Name
Email
example@example.com
Location

Street Address

Street Address Line 2

City

Country
Birth Date

Day Month Year
Date
Sex

Female Male Intersex
Height (cm)
Weight (kg)
Body Fat (%)
Neck (cm)
Naval (cm)
Hips (cm)
These measurements will allow me to estimate your current body-fat percentage. If you have had your body-fat percentage measured just provide that in the box.

Neck (cm) - Measure the narrowest circumference.

Navel (cm) - Measure around in line with your naval.

Hips (cm) - Measure around at the widest point of your glutes and hips.
Lifestyle / Diet / Health
When do you typically wake up?

: Hour Minutes
When do you typically go to bed?

: Hour Minutes

How well do you feel you sleep on average?

	1	2	3	4	5

1 is Awful, 5 is Excellent

How rested do you feel in the morning on average?

	1	2	3	4	5

1 is Tired, 5 is Rested

How recovered do you feel in the morning on average?

	1	2	3	4	5

1 is Painful, 5 is Fresh

How energised do you feel during the day on average?

	1	2	3	4	5

1 is Fatigued, 5 is Energised

Detail when you typically feel fatigued
Do you consume any caffeine?
Tea, coffee, energy drinks, pre-workout supplement, gum, tablets
Detail all drinks or products with typical consumption times
Do you regularly consume any alcohol?
Detail your typical alcoholic drink consumption

How stressed do you feel on average?

	1	2	3	4	5

1 is Stressed, 5 is Relaxed

Do or have you ever had a mindfulness or meditation practice?
Including any mobile apps or websites
Detail practice (or app) you currently or have previously used

How is your stomach / bowel health on average?

	1	2	3	4	5

1 is Diarrhoea, 5 is Constipation

Do you have any food allergies or sensitivities?
Including FODMAPs, gluten, etc
Detail all food allergies or sensitivities
Do you currently or have you ever taken any supplements?
Including vitamins, minerals, protein or food powders, etc
Detail all supplements taken below including outcomes
Also detail supplements you have tried before and are no longer taking
Are you vegan?
Please select all foods you typically eat during the week

Red meat Processed meat Pork Chicken Fish Shellfish Eggs Milk Cheese
Detail your typical weekly eating pattern and habits
The more detail you provide the better I can understand your situation
Do you or have you ever had any concerns about your relationship with food, eating, dieting, body image?
Detail any concerns current or previously
Also, if you have previously had counselling, help, worked with a dietitian, etc
Do you have regular or irregular menstrual cycle?
Do you use hormonal contraception?
Detail contraception and how long you have been using it
Please indicate the impact this has on your menstrual cycle
Detail any other health or personal concerns I may need to know
Training
Detail your typical week training and performance sessions
Detail day, start and end times, and general overview so I can understand your needs
Detail what you typically eat before, during, and after your sessions
Including caffeine, supplements, etc
How can I help?
Detail your background and reasons you would like my help
Your answer here is for me to understand you, so please don't just give me one sentence
Before answering the next question, please visit http://coaching.useful.coach to see from when the next coaching slots are available.
When would you ideally like to start the coaching?

Day Month Year
Where did you hear about my coaching?

Instagram Facebook Found my website
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[usefulcoach] Climbing Nutrition Coaching

Lifestyle / Diet / Health

Training

How can I help?