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Welcome!
This is a short questionnaire to find out about your health and the potential to perform at a very high level.
Start
1
On a scale from 1 to 5, how energized do you feel in the morning?
1 - no energy at all
2 - It takes me some time to get going
3 - I feel somewhat energized on average
4 - Pretty energized
5 - I could conquer the world
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2
Do you have trouble falling asleep?
YES
NO
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3
Do you wake up frequently throughout the night?
YES
NO
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4
Do you ever experience afternoon crashes or are tired after a meal?
Even if it only happens once or twice a week, it is still a yes.
YES
NO
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5
Do you workout regularly?
You can click yes if you train and workout at least 1 a week.
YES
NO
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6
How many times a week do you work out?
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7
On a scale from 1 to 5, rate the quality of your nutrition.
1 - fast food only
2 - not super conscious about nutrition
3 - My nutrition is alright most of the time
4 - 80% perfect - there are some leaks for sure
5 - I eat clean all the time
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8
Do you ever experience one or more of the following challenges?
Food coma - really tired after food
cravings for sugar
being hungry all the time
digestive issues - discomfort in the stomach
Waking up at night - feeling hungry
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9
Do you feel productive throughout the day?
YES
NO
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10
Are you good at tapping into flow and concentrating?
YES
NO
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11
Your name
Vorname
Nachname
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12
Your E-Mail
example@example.com
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13
May I reach out to you and inform you about performance coaching?
YES
NO
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