TFR Online Nutrition Questionnaire - PT Harrogate

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Welcome to
The Fitness Rooms Online!

You are now a Member of a unique Community whereby you shall have on-going freedom to contact the Coaching Team to keep you focused, ensure you stay on track and have access to our extensive library of exercise drills and videos. Our Community is centred around ensuring that YOU reach your goals. Whats Next?

Step 1. Please fill out and submit your answers below.

Step 2. Join our Private Facebook Community Group.

Step 3. One of our Coaches will be in contact with you soon to arrange your video consultation.

I look forward to speaking to you soon!
Steve Bannister - Founder

Please fill the form to the best of your knowledge.

Hi and welcome to PHSportsNutrition. Please answer the following questions as honestly as possible. We can then discuss the best way to make improvements to your nutrition plan and compliment all the effort you are putting in with Steve.

* Indicates required field

Name *

First

Last

Email *

Date of Birth *

Mobile *

The main reasons for wanting to improve my nutrition are (highlight all applicable): *

Training for sports event Weight Loss Feel Good / Healthier Look Good / Improved physique Gain Muscle Improve Endurance Other

Please elaborate on the above choices. *

If you are preparing for an event, which one? What other goals o you have?

Breakfast

Preference (Y/N or elaborate)

I don’t eat breakfast. Why? *

Cereal (specify): *

Porridge *

Other (specify) *

Lunch

Lunch Preparation

Choose One *

I often skip lunch I usually buy lunch I usually prepare lunch I flip between own made & shop bought

Lunch Content - please enter A(lways) S(ometimes) R(arely) N(ever)

Bread *

Pastry *

Meat *

Fish *

Salad *

Cake *

Crisps *

Dinner

Dinner Time – please enter U(sually) O(ccasionally) R(arely) N(ever)

Self prepare/Cook *

Buy In *

Eat Out *

Dinner choices include – please enter O(ften) S(ometimes) R(arely) N(ever)

Red MEat *

Fish *

Brown Rice *

Noodles *

Chips *

White MEat *

Veg *

White Rice *

Potatoes *

Bread *

Pizza *

Fish / Chips *

KFC *

McDonalds *

Dessert

How often do you eat dessert? *

Always Sometimes Rarely Never

Please list a couple of your regular choices *

Snacks

Please mark with a D(aily) or S(ometimes) for those you opt for in a week. Mark with N(ever) those you don't eat.

Fruit *

Dried Fruit *

Nuts *

Cake *

Sandwich *

Protein Bar *

Crisps *

Biscuits *

Houmous *

Beef Jerky *

Do you have any other ‘favourite’ or ‘Go-To’ snack? *

Please select the statements that best reflect your snacking patterns: I snack due to… *

Boredom Enjoying the taste Habit Time of day Unhappiness Aiming to add calories Joining in with friends Whilst watching TV/Film Made by family member Replacing full meal

Choose all that apply

Drinks

Do you drink alcohol... *

Daily Usually only weekends Only weekends Rarely I don't

How many times in a day would you choose the following non-alcoholic drink:

Water *

Sports Drink *

Tea *

Coffee *

Barista style coffee *

Other *

What do you do for an occupation and how active would you say you need to be? *

Are you taking any supplements currently? These might be Vitamin tablets or sports related *

Any other comments / information you would like to include. Examples might be food allergies or intolerances / Medical history / Food preferences / Commitments which shape when and how you can eat etc. *

Thank you for taking the time to give me an introduction to your nutritional background! I look forward to calling you in the near future.
Phil Holmes

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