Performance Nutrition: Consultation Form Name * First Name Last Name Email * Phone * (###) ### #### Preferred method of contact? * Email Phone Do you currently play a high school or college sport? * Yes No If yes, please indicate which sport(s) below If no, please move on to the next question. Please give detail of your exercise regimen * Please give detail of your in season training regimen *If applicable Please detail other in season training modalities *If applicable Strength & Conditioning Cardio Yoga Stretching Three top health priorities? * Describe your pre and post workout fueling practices * Percentage of food that is home cooked? * Further elaboration if needed Who is responsible for the cooking in your home? * Describe quality and quantity of sleep * Do you handle stress well? * Illnesses? * Allergies? * Medications? * Supplements? * Do you have updated physical and/or labs * Did we miss anything? Thank you!
