Nutrition Initial - Core Results

Please can you answer the following questions as best you can?

Name*

First Last

Email*

Phone

How tall are you?

What is your date of birth?

What is your current weight in kilograms?

Ideally weigh first thing in the morning before food/drink. If you have no scales please use the ones at the gym & note down the time you use them.

Current circumference measurements in CENTIMETRES?

(Belly button level) Waist:

(Widest circumference around bum) Hips:

(Almost at the top, just under the glute fold) Right Thigh:

(Almost at the top, just under the glute fold) Left Thigh:

OPTIONAL EXTRAS

(Midway between shoulder & elbow) Right Arm:

(Midway between shoulder & elbow) Left Arm:

Underbust:

(Nipple line) Overbust:

Do you have any medical conditions I need to be aware of? If yes, are you taking any medication and/or being prescribed certain lifestyle practices to help with this?

Are you pregnant or have you given birth in the last 6 months?

Please provide information about your monthly cycle – regular/irregular, how it affects your mood/energy or if you are going through/have been through menopause.

If applicable, are you on any form of contraception? And if yes, what type?

Do you have any food allergies or diagnosed intolerances?

Do you follow any particular type of dietary practice that you haven’t already mentioned?

(Pescetarian, vegetarian, vegan, paleo, gluten free etc).

Are you taking any supplements? Please include quantities.

This INCLUDES multivitamins, fish oils, creatine, whey protein (not technically a supplement but most don’t list this as a food) etc.

Do you suffer from any digestive issues/discomfort even if not diagnosed? If yes, what issues/discomfort? And do you know why and/or what triggers it?

Do you have any previous experience with dieting? If yes, what did you do? What was your overall experience/outcome of this? Please provide as much detail as you can.

How many hours of sleep do you get a night on average?

What is your typical bedtime & wake up time? Is this different on weekends or certain nights?

What is your current weight-training program if any?

(Type of training, how often etc.)

What is your current ‘cardio’ training program if any?

If you have a step tracker, what is your average daily step count?

Where do you feel your diet is lacking? What do YOU feel could be improved?

What do you feel are your strengths with regard to training & nutrition? This can be as broad or as specific as you like!

Do you regularly feel stressed? If yes, what do you feel are the main triggers & do you have any methods to help manage your stress?

What is your main goal? To reach by when?

Are you prepared to weigh/measure food if required?

This won’t be long term unless preferred by you.

And have you ever used any food tracking software/apps such as My Fitness Pal? If yes, what calories had you been/are you currently tracking to?

(Include protein/carb/fat targets as well if you know them).

On a scale of 1-10, how committed are you to making changes in your lifestyle to reach your goals? (1 = Not at all, 10 = 100% committed)

Why have you chosen this number?

Is there any other information you think I should know or are there any questions you’d like to ask me?

Current photos (front, side & back)

➙ Ideally not a ‘mirror’ shot. Self-timer or another person taking it is ideal! I can take these for you at the gym if needed.

➙ Ideally you would be in fitted clothing. Ladies - A bikini, OR sports bra with underwear or shorts. Men – Boxers or shorts. Whatever you are comfortable with though – even if it’s t-shirt & leggings.

➙ I highly recommend not skipping this step - it is one of the biggest regrets in body transformations if this is not done!

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