Gene Testing Questionnaire

Please complete this form as accurately as possible. This information is combined with your genetic data to create your personalized report.

SECTION 1: ESSENTIAL INFORMATION

Gender *
MaleFemalePrefer not to say

SECTION 2: SPORT & TRAINING BACKGROUND

Primary Sport *
HyroxCrossFitBoth EquallyRunning (Endurance)Weightlifting/PowerliftingOther

Training Experience *
Less than 6 months (Beginner)6 months - 2 years (Intermediate)2-5 years (Advanced)5+ years (Expert)

Sessions Per Week *
1-2 sessions3-4 sessions5-6 sessions7+ sessions

Hours Per Week *
Less than 3 hours3-5 hours5-7 hours7-10 hours10+ hours

Performance Level *
Recreational / Fitness enthusiastCompetitive (local comps)Semi-Pro / National levelProfessional / Elite

SECTION 3: ETHNICITY/ANCESTRY

This is vital for providing the most accurate interpretation of your genetic results, as SNP frequencies vary between populations.

Which best describes your ethnicity? *
European / CaucasianAfrican / Afro-CaribbeanEast Asian (e.g., Chinese, Japanese, Korean)South Asian (e.g., Indian, Pakistani, Bangladeshi)Hispanic / LatinoMiddle Eastern / North AfricanMixed / Other

SECTION 4: REPORT PREFERENCES

Who is this report for? *
Just me (the athlete)My coach/trainerBoth

What style of report do you prefer? *
Simple/Practical (minimal jargon, focus on actions)Detailed/Scientific (full explanations, more data)

What are your top 3 priorities for this report? *
Understanding my genetic strengthsIdentifying my genetic weaknessesBody composition & weight managementInjury prevention strategiesPersonalized supplement guidanceNutrition & diet optimization

SECTION 5: PERFORMANCE DATA (Optional)

Leave blank any you don't know.

Hyrox Division
N/AOpenProDoubles

SECTION 6: INJURY & RECOVERY HISTORY

Past Injuries (check all that apply)
Lower BackKnee (e.g., patellar tendinitis)Shoulder (e.g., rotator cuff)Elbow (e.g., tennis/golfer's elbow)Achilles / Plantar FasciitisAnkle SprainsOther

Injury Frequency *
Frequently (multiple times a year)Occasionally (once a year)Rarely (once every 2+ years)

My muscle soreness (DOMS) after a hard workout is typically: *
Low (Feel fine in 24 hrs)Moderate (Sore for 48 hrs)Very High (Sore for 72+ hrs)

My energy & focus the day after a hard workout is typically: *
High (Ready to go, feel sharp)Moderate (A bit tired but can push)Low (Feel foggy, unmotivated, or flat)

Have you ever had chronic tendon or ligament issues (e.g., tendinitis, plantar fasciitis)? *
No, neverYes, once or twiceYes, frequently

How would you describe your natural, un-stretched flexibility? *
Very StiffAverageVery Flexible (e.g., can easily touch toes)

SECTION 7: NUTRITION & BODY COMPOSITION

Main Body Composition Goal *
Lose fat / get leanerBuild muscle / gain weightMaintain current compositionRecomposition (lose fat & build muscle)

Are you 100% Vegan or Plant-Based? *
NoYes

How many servings of leafy green vegetables (spinach, kale, rocket, asparagus) do you eat per week? *
0-2 servings per week3-5 servings per week6+ servings per week

How do you respond to calorie restriction for weight loss? *
Lose weight relatively easilyIt's a slow, difficult processI have very little success with it

How do you feel when training fasted (e.g., before breakfast)? *
Perform well, good energyIt's okay, but not my bestPerform poorly, feel weak or dizzy

How do you feel after a high-fat meal (e.g., steak, avocado, nuts)? *
Energized and full for hoursNormalHeavy, sluggish, and low energy

Do you track macros or calories? *
Yes, track macros/calories dailyYes, but only track proteinSometimes, but not consistentlyNo, I eat intuitively

SECTION 8: SUPPLEMENTATION

Current Supplements (check all that apply) *
Protein powderCreatine monohydratePre-workout with caffeineOther pre-workout (stim-free)Vitamin DOmega 3 (Fish Oil)MagnesiumCollagenOther

If you take Vitamin D, how often? *
DailyOnly in the winterI do not take Vitamin DNot applicable (I didn't check Vitamin D)

Typical Daily Caffeine Intake (all sources: coffee, pre-workout, energy drinks) *
0-100mg (e.g., 1 cup coffee)100-200mg (e.g., 2 cups coffee)200-400mg (e.g., 3-4 cups or 1 pre-workout)400mg+ (High Intake)

How do you respond to caffeine? *
Great energy boostGood focusNo side effectsCauses anxiety or jittersDisrupts my sleepI don't feel it at all

SECTION 9: LIFESTYLE FACTORS

Average Sleep Hours Per Night *
Less than 5 hours5-6 hours6-7 hours7-8 hours8+ hours

Sleep Quality *
Excellent (wake feeling refreshed)Good (mostly sleep through)Poor (frequent waking, unrefreshing)Very Poor (insomnia, etc)

Perceived Stress Level *
Low stressModerate stressHigh stress

In a high-stress situation (e.g., competition, work deadline), how do you typically feel? *
I feel focused & thrive under pressure (Warrior)I get anxious & overthink (Worrier)It depends

How would you describe your natural motivation to train? *
Very consistent and self-motivatedMy motivation comes in wavesI struggle with motivation

SECTION 10: ADDITIONAL INFORMATION

SECTION 11: DATA CONSENT

We are collecting sensitive personal health data, including genetic information. This data will be used solely for the purpose of creating your personalized performance report and will be handled with strict confidentiality in accordance with our privacy policy.

I consent to Theorem Metabolic collecting and processing my sensitive personal health data (including genetic results and health information) for the purpose of creating my personalized performance report.