1. Sex   Male Female 2. Age   Under 35 Under 50 50+  3. What is your main goal?     Fat loss  Muscle gain  Fat loss and muscle gain Increase overall health 4. How would you describe your build?     Athletic Muscular Average Underweight Overweight 5. How often do you exercise?      Never 1-2 times per week 3-4 times  per week 5-7 times per week 6. Do you have a family history of the following:   Diabetes Obesity Cardiac problems Cancer Mental illness None of the above 7. Do you suffer from diabetes?   Yes No 8. How active are you in your day-to-day work?   Not at all A little Fairly Very Extremely 9. How many meals do you eat per day?   1-2 3-4 5-6 7+ 10. How many times per week do you eat fatty food, fast food or fried food?   Never 1-2 3-4 5-6 Everyday 11. How many portions of fruit and vegetables do you eat per day? (1 portion= ½ cup of fruit/vegetables, ¼ cup dried fruit, 1 cup of leafy vegetables)   None 1-2 3-4 5+ 12. How often do you eat out?   Almost Every day 2-3 times per week Once a week Once a fortnight Hardly ever 13. How would you describe your energy levels during the day?   High Moderate Low Erratic 14. How would you describe yourself?   Organised Obsessive Disorganised Carefree 15. What type of food do you like best?   Sweet Savoury Bland 16. How many cigarettes do you smoke per day?   None 5 or less 15 or less 20+ 17. How many units of alcohol do you drink per week?   None 1-10 11-19 20-29 30+ 18. How often do you have sex?   Never Once a month Once a week 2-3 times per week Most days 19. Are you currently taking nutritional supplements? (e.g. multivitamins, omegas etc.)   Yes No 20. How many grams of protein supplementation are you taking per day?   0 30 60 60+