LSC Nutrition questionnaire

LSC Nutrition questionnaire




  • If yes, what are your questions?

  • Other:

  • Other:

  • Questions with regards to dietary habits

  • Other:

  • If yes or maybe, which:

  • If yes, which diet(s):

  • How many maximum kg lost?

  • How many kg lost or gained?

  • If yes, which

  • If yes, which and how many?

  • If yes how many times per week?

  • If yes, which:

  • If yes, how many glasses per week?


  • Questions regarding health (-past):

  • If yes, about what?

  • If yes, which?

  • If yes, how much?

  • If yes, which?

  • If yes, which and how much?

  • If yes, for which condition?

  • What health deficiencies have manifested themselves over the years?

  • If yes, which?

  • How many hours, on average, do you sleep?

  • On scale 1 – 10:


  • General questions regarding current fitness:

  • If yes, what kind?

  • How many times per week


  • 57. Goal: what do you hope to achieve with lifestyle coaching?

  • Only for women:

  • If yes, what kind of problems?