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Combat Sport
Medical and Nutrition Form

This questionnaire includes some personal questions designed to help me understand you — your lifestyle, habits, preferences, and goals. The more openly and honestly you answer, the better I can design a nutrition plan that truly works for you.

One of the most important parts of this journey is building a relationship based on trust and clear communication, so please don’t hold back on sharing details you think might help. There’s a notes section at the end if you’d like to add anything extra.

All information you share will be treated with complete confidentiality.

Birthday
Day
Month
Year
Sex:
Male
Female
Performance goals
Any past issues with food restriction or binge eating?
Yes
No
Typical method of weight cut:

Berkshire, Hampshire, Surrey, London and Online Global

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