Nutrition Questionnaire
Please complete and I will send you some information on the areas you are struggling with.
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: 440000000000.
How long have you been a member at Method Training?
How many times per week do you exercise?
How many steps per day would you say you averaged?
Do you drink alcohol?
Yes
No
If so, how much (per week?)
Do you drink caffeine?
Yes
No
If so, how much and what are rough timings?
How would you describe your sleep? Do you sleep well?
Do you think your diet is healthy? If yes, why? If no, why?
On a day to day basis, what would you say your stress levels are like? 1 = low 5 = high
On a day to day basis, what would you say your hunger levels were like? 1 = low 5 = high
On a day to day basis, what would you say your appetite levels are like? (your want to eat)? 1 = low 5 = high
On a day to day basis, what would you say your energy levels are like? 1 = low 5 = high
How would you describe your relationship with food? Do you feel you have an emotional connection or would you say food is fuel?
What do you feel you struggle with the most when it comes to nutrition?
Submit
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