University of Denver Athlete Nutrition Questionnaire

Name *

First Name

Last Name

What sport do you compete in? *

What year in school are you? *

Freshman

Sophomore

Junior

Senior

Do you live on or off campus? *

On

Off

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Email Address *

Phone number *

(###)

###

####

Date of birth *

Height *

Weight *

Do you follow a plant-based (vegan or vegetarian) daily nutrition plan? *

Yes

No

List foods that you dislike or will not eat *

Do you have any food intolerances or allergies? If so, please list. *

Do you like to cook? *

Yes

No

How much fluid do you consume daily?

What types of fluids do you drink?

What are your top 3 nutrition related short term goals? *

What are your biggest nutritional challenges? *

Is there anything else you would like to share? *

Thank you!

eNRG performance

303-242-7955 bob@enrgperformance.com

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