Athlete Questionnaire

PERSONAL INFORMATION
Name

First NameLast Name
Date of Birth

MonthDayYear
Date
Age
Phone Number
Email Address
example@example.com
Medical Issues

YesNo
Please explain
Any Allergies

YesNo
Please explain
How many bowel movements a day?
What time do you wake up?

Hour Minutes

AM/PM Option
What time do you sleep?

Hour Minutes

AM/PM Option
Which foods do you dislike?
MEASUREMENTS
Weight
Height
Body Fat %
Fighting Weight Class
DAILY ACTIVITIES (Needs to total 24 hours)
How many hours or minutes of sleep a day?
How many hours or minutes of standing a day?
How many hours or minutes of sitting a day?
How many hours or minutes of walking a day?
How many hours or minutes of driving a day?
How many hours or minutes of cardio a day?
How many hours or minutes of training a day?
How many hours of household work a day?
TRAINING SCHEDULE
Monday
STARTING TIME
DURATION
TYPE
Tuesday
STARTING TIME
DURATION
TYPE
Wednesday
STARTING TIME
DURATION
TYPE
Thursday
STARTING TIME
DURATION
TYPE
Friday
STARTING TIME
DURATION
TYPE
Saturday
STARTING TIME
DURATION
TYPE
Sunday
STARTING TIME
DURATION
TYPE
DAILY TRAINING NUTRITION
How many meals do you eat a day?
How many snacks do you eat a day?
What time is your first meal?

Hour Minutes

AM/PM Option
What time is your last meal?

Hour Minutes

AM/PM Option
How much water do you drink a day?
Do you currently take any sports supplements?
What do you normally eat and/or drink 1-2 hours before a training session?
What do you normally eat and/or drink during a training session?
What do you normally eat and drink 1-2 hours after a training session?
PERFORMANCE AND RECOVERY
Are you working with a professional health practitioner?

YesNo
What kind of practitioner?
How many days a week?
How many hours per session?
Do you work with a strength and conditioning coach?

YesNo
How many days a week?
How many hours per session?
Have you had any surgeries?

YesNo
If yes, please list?
Rank your overall recovery per training session

12345678910
Rank your overall athletic performance per training session

12345678910
FIGHT WEEK NUTRITION
How many days before weight cut do you stop eating carbs?
How many meals a day do you eat during fight week?
How many snacks a day do you eat during fight week?
Do you take supplements during fight week?

YesNo
If yes, please list?
WEIGHT - CUT PROTOCOL
Have you missed weight before?

YesNo
How much do you weight 10 days before weigh-ins?
How much weight do you normally cut a day before weigh-ins?
Do you waterload?

YesNo
If yes, how many days?
How do you cut weight?

SaunaHot TubCardioJacuzziSauna SuitTowel Wrap
Please explain exactly how you cut weight the night before?
RELOAD AND FIGHT DAY
What do you normally drink after weigh in?
What do you normally eat right after weigh in?
How many snacks do you eat after weigh in day?
How many meals do you eat after weigh in day?
Do you take supplements after weigh in?

YesNo
If yes, please list?
How many meals do you eat on fight day?
How many snacks do you eat on fight day?
Do you take supplements on fight day?

YesNo
If yes, please list?
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PERSONAL INFORMATION

MEASUREMENTS

DAILY ACTIVITIES (Needs to total 24 hours)

TRAINING SCHEDULE

DAILY TRAINING NUTRITION

PERFORMANCE AND RECOVERY

FIGHT WEEK NUTRITION

WEIGHT - CUT PROTOCOL

RELOAD AND FIGHT DAY