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Athlete Nutrition Questionnaire
This is designed to assist in designing your optimal food plan
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Email
*
Your email
ABOUT YOU
Help me understand you a little bit better before we catch up on the phone
Name, Age, Telephone number
*
Your answer
Where do you live?
*
Your answer
Tell me about you.
*
Your answer
Training Peaks/Todays Plan/Etc Login Details (if you have it let me know which one)
Your answer
Next event you are competing in?
Your answer
MyFitnessPal Username and Password (if you have one, if not, create one please :)
Your answer
Waist Circumference Measurement INCHES (the narrowest part of your waist)
*
Your answer
Your height in INCHES
*
Your answer
Current Weight and Goal Weight for competition
*
Your answer
Have you had a DEXA scan or other body composition assessment?
Yes
No
Clear selection
What were the results? Please send me a PDF if you have them.
Your answer
Have you worked with a nutritionist before?
*
Yes
No
What are you wanting to achieve by working with me?
Improve performance
Improve hydration strategy
Recovery strategy
Gain muscle
Lose fat
Gain weight
Lose weight
What are your goals/ambitions this year?
Your answer
What areas do you see as ones you can work on?
Food choices
Portion Control
Education/Understanding
Hydration
Performance nutrition
Recovery
TRAINING
Understanding your demands is KEY to your nutrition program.
Who is your coach and what are their details?
Your answer
Hours of training/exercise per week (average)
*
0-4
5-8
9-12
13-16
17-20
20+
Other:
NUTRITION SPECIFICS
This helps me understand what you know about nutrition
My food preference is:
*
Omnivore/Everything
Lacto-ovo vegetarian
Vegan
Pescatarian
Gluten Free
Other:
These are the foods I you prefer to eat for breakfast
*
Eggs
Oats
Smoothies
Salads
Meats
Yoghurt
Cereal
Fruit
Other:
Required
These are the foods I you prefer to eat for lunch & dinner
*
Leftovers
Pasta
Meat
Junk Food
Fish
Salad/vegetables
Take away
Fruit
Eggs
Other:
Required
These are the foods I you prefer to eat for snacks
*
Muffins
Fruit
Jerky
Granola bars
Protein bars
Protein shakes
Cereal
Yoghurt
Bread/toast
Other:
Required
Endurance athletes: Do you practice/train your carb consumption (gels/bloks) during training?
Yes
No
Other:
Clear selection
Endurance athletes: How often do you practice/train your carb consumption (gels/bloks) during training?
Weekly
Monthly
The couple of weeks before races
The week before a race
Clear selection
Endurance athletes: Do you practice/train your fluid consumption (carbs/H20/electrolyte) during training?
Weekly
Monthly
The couple of weeks before races
The week before a race
Clear selection
Endurance athletes: How often do you practice/train your fluid consumption (carbs/H20/electrolyte) during training?
Weekly
Monthly
The couple of weeks before races
The week before a race
Clear selection
What's your view on protein? How much do you eat daily? Why do you do this?
*
Your answer
What's your view on carbs? How much do you eat daily? Why do you do this?
*
Your answer
What's your view on fat? How much do you eat daily? Why do you do this?
*
Your answer
These are the foods I dislike or refuse to eat
*
Your answer
Do you like to eat the same foods on a regular basis?
Yes
No
Other:
Clear selection
How many servings (fists) of vegetables do you eat per day (avg)?
0
1-2
3-4
4-5
5-6
6+
Clear selection
How many pieces of fruit do you eat per day (avg)?
0
1-2
3-4
4-5
5-6
6+
Clear selection
HEALTH & MEDICAL
To get a better understanding of any medical issues
Past Medical History
*
Your answer
I have a real food allergy to;
*
None
Gluten
Eggs
Nuts
Shellfish
Lactose
Other:
Required
I get adverse symptoms (bloating, coughing, reactions etc) from these foods
*
None
Gluten
Eggs
Nuts
Shellfish
Lactose
Other:
Required
Where were you tested? By whom? What was the test? What was the result? In the past 2 years, these are the tests I have had completed on myself. Can you share the results?
Your answer
SUPPLEMENTS
They are part of a nutritional program.
I take the following supplements
*
Whey Protein
Casein Protein
Creatine Monohydrate
Fish OIls
Probiotics
Multivitamin
Carbohydrate gels/bloks/chews
Carbohydrate drinks
Vitamin D3
B vitamin complex
Electrolytes
Glutamine
Melatonin
Other:
Required
Are they NSF?
Yes
No
Other:
Clear selection
What electrolyte do you prefer to drink?
SOS
Right Stuff
Nuun
Biosteel
Gatorlyte
Other:
LIFESTYLE
Nutrition has to be practical, it starts at home.
Do you cook at home?
*
Yes
No
Sometimes
I am happy to weigh food (at least initially) to gain an understanding of portion size?
*
Strongly Disagree
1
2
3
4
5
Strongly Agree
Any religious beliefs that influence your food choice or intake?
Your answer
Alcohol - what, how often and how much do you drink?
*
Your answer
Do you have difficulty sleeping?
Yes
No
Other:
Clear selection
How many hours on average do you get per night?
<6
6-8
8+
Other:
Clear selection
What temperature do you sleep in?
<65F / 18.3C
<70F / 21.3C
>70F/+21.3C
No idea
Clear selection
CAFFEINE
Caffeine is a powerful stimulant and can be both positive and negative in terms of performance
How many cups coffee per day do you drink?
*
1-2
3-4
4+
What's the latest you drink coffee?
Before 12
Between 12-2
After 2
Clear selection
SICKNESS
Sickness means missing competition and training - we want to reduce this.
Do you get sick through the season?
Always
Sometimes
Never
Clear selection
Detail your sickness, including time of year.
Your answer
How did you hear about Tinlane? (select all that apply)
*
Existing TinlaneCo Athlete. Who?
Richard Thompson
PurplePatchFitness
Base Tri Fitness
Next Level Tri Coaching
Avid Endurance Coaching
Ikonix Coaching
Craig McFarlane
Podcast. Which one?
Instagram Post. Who? What?
Instagram Story. Who? What?
Tinlane FB post
Other:
Required
Anything you want to add to assist the process?
Your answer
Send me a copy of my responses.
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