CLIENT QUESTIONnaiRE: Part one

This questionnaire is designed to gather important information surrounding your lifestyle and nutrition, so that we can put together a 'Lifestyle Plan' to support your goals. The more information you can give, the better advice we can give you in return. Lifestyle factors, stress and nutrition play a huge role in your results.

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There are 4 separate forms. Please fill out your name and click 'Submit' before moving onto the next form. This information is confidential.

SLEEP
How many hours of sleep do you get per night?
Do you find it easy to fall asleep?
How often do you wake up during the night?
Do you feel well rested in the morning?
Do you feel fatigued throughout the day?
Do you have a lot of screen time before bed?
Are you a shift worker?
Do you wake up at night to go to the bathroom?