Body Genius Sports Questionnaire

This questionnaire asks you to assess how you have been feeling during the last three months. All information is held in strict confidence.

Take all the time you need to answer this questionnaire. Most people complete the questionnaire in 5 minutes.

Please answer each question by clicking on ‘YES’ or ‘No’. At the end of the quiz you will receive an email with your score and you will be contacted by a Body Genius Practitioner to discuss your results.

Please select one of the following*
- I am taking this questionnaire because I have health challenges & I am serious about improving my health
- I am taking this questionnaire for fun and I simply want to see what my score is
Pain
Do you experience pain or tightness in your calves, hamstrings or lower back?*
- yes
- no
Have you suffered from chronic inflammatory problems such as Achilles tendonitis, patellar tendonitis, ‘tennis elbow’, ‘golfers elbow’ or rotator cuff injuries?*
- yes
- no
Do you experience chronic tightness in your muscles that is not alleviated through stretching?*
- yes
- no
Do you experience chronic neck, middle back, or lower back tightness that is not alleviated through stretching or treatment?*
- yes
- no
Do you wake up in the morning and find it difficult to get going and ‘loosen up’?*
- yes
- no
Have you experienced reoccurring muscle tears or strains? (Calves, hamstrings, quadriceps, etc)*
- yes
- no
Have you experienced reoccurring joint pain? (Knees, hips, shoulders)*
- yes
- no
Dysfunction
Do you get an overwhelming sense in your body when you train that something is just not quite right?*
- yes
- no
Have you experienced a long list of ‘niggles’ or ‘injuries’ in the past few years and cannot determine why?*
- yes
- no
Do you find it difficult to lunge, squat, push, pull or twist during weight training?*
- yes
- no
Do you experience muscle or joint pain while squatting, lunging or deadlifting?*
- yes
- no
Would you consider yourself to be generally stiff, inflexible and lacking mobility?*
- yes
- no
Can you touch your toes in standing keeping your knees locked?*
- yes
- no
Can you squat to full depth (buttocks below hips) keeping your heels on the ground?*
- yes
- no
Can you touch your fingers behind your back? Left hand over the top and right hand behind back and upwards.*
- yes
- no
Health
Are you lacking in energy?*
- yes
- no
Have you noticed a gradual or sudden decline in your training performance recently?*
- yes
- no
Do you find it difficult to fall asleep at night?*
- yes
- no
Do you wake up during the night?*
- yes
- no
Do you wake up feeling tired, stiff and sore, regardless of how much sleep you get?*
- yes
- no
Do you have a general sense of being unwell?*
- yes
- no
Do you suffer from frequent colds and flus?*
- yes
- no
Do you suffer from constipation (a bowel action less than once per day), diarrhea or abdominal bloating?*
- yes
- no
Have you or your friends/family noticed a change in your mood? (Anxiety, low mood, angry, irritable)*
- yes
- no
Do you find it difficult to think clearly or concentrate on specific tasks?*
- yes
- no
Nutrition and Supplementation
Are you eating a large amount of processed foods? (Bread, cereal, pasta, crackers, processed meats)*
- yes
- no
Do you drink at least two (2) litres of filtered water per day? (Not including coffee, tea, juice or sports drinks)*
- yes
- no
Are you a vegetarian or vegan?*
- yes
- no
Do you consume flavoured protein powder, sports drinks or pre-workout supplements?*
- yes
- no
Do you have a tendency to consume the same foods each day? (The same foods for breakfast, lunch, and dinner)*
- yes
- no
Do you eat at least four (4) cups of vegetables per day?*
- yes
- no
Are you unsure of the best way to eat to support your training program?*
- yes
- no
Are you unsure as to which supplements are the best to take to support your training?*
- yes
- no
Do you feel your eating habits may be contributing to your lack of performance?*
- yes
- no
Do you feel your eating habits may be contributing to your pain/stiffness or injuries?*
- yes
- no
Injury Prevention and Performance
Are you interested in minimising your risk of injury?*
- yes
- no
Are you interested in participating in an Athletic Screen that measures precisely your risk of injury and provides an individualized Risk Profile?*
- yes
- no
Are you interested in knowing how you compare to other athletes of the same age and gender, participating in the same sport at the same intensity level?*
- yes
- no
Are you interested in learning which exercises are the best for your body and how they can have an immediate impact on improving performance and reducing your risk of injury?*
- yes
- no
Are you interested in learning how your body could move more efficiently and how this could have a significant impact on your training and sport performance?*
- yes
- no
Name*
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Phone*
Email*
How did you hear about us?*
Referrer Name
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Body Genius Sports Questionnaire

Body Genius Sports Questionnaire

Pain

Dysfunction

Health

Nutrition and Supplementation

Injury Prevention and Performance