Blood Work Questionnaire

Yes - I am using/have used PEDs No - I am not using PEDs

Consistent through the day Morning person with afternoon crash Slow to start but improve through day Variable and unpredictable

Less than 5 hours 5-6 hours 6-7 hours 7-8 hours More than 8 hours

Yes, most days Sometimes Rarely Never

Fatigue despite adequate rest Difficulty losing weight despite efforts Unexplained weight gain Difficulty gaining muscle despite training Low libido or sexual dysfunction Mood changes (anxiety, depression, irritability) Hair loss or changes in hair texture Skin changes (dry, oily, acne) Temperature dysregulation (always cold or heat intolerant) Palpitations or racing heart Tremor or shakiness Brain fog or difficulty concentrating Digestive issues (bloating, constipation, diarrhoea) Water retention / feeling puffy Menstrual irregularities (females) None of the above

Yes No

Yes - personal history Yes - family history Yes - both personal and family No

Yes No Not sure

Yes No Not sure - I will check my supplements

0-1 sessions per week 2-3 sessions per week 4-5 sessions per week 6+ sessions per week

Recovering well between sessions Sometimes feel beaten down Consistently beaten down

None Occasional (1-2 drinks/week) Moderate (3-7 drinks/week) Regular (8-14 drinks/week) Heavy (15+ drinks/week)

Never smoked Former smoker (quit) Current smoker Vape/Nicotine replacement

None 1-2 cups coffee/tea 3-4 cups coffee/tea 5+ cups coffee/tea or energy drinks

Less than 1 litre 1-2 litres 2-3 litres More than 3 litres

No - I have been well Yes - cold/flu symptoms Yes - infection Yes - injury/trauma