info@theorem.fit 07440 097510
Please complete this form as accurately as possible. This information is combined with your genetic data to create your personalised performance report.
⏱ Completion time: 10–15 minutes 🔒 UK GDPR compliant
01
Basic details we need to process your results and contact you about your report.
Test ID (if you have it)
Provided when you ordered the test (e.g. TM251066). Leave blank if you don't have it.
Full Name *
Email Address *
Age *
Phone Number
Gender * MaleFemalePrefer not to say
02
Your sport focus shapes how every genetic finding is interpreted.
Primary Sport * HyroxCrossFitBoth EquallyRunning (Endurance)Weightlifting/PowerliftingOther
If other, please specify
Training Experience * Less than 6 months (Beginner)6 months - 2 years (Intermediate)2-5 years (Advanced)5+ years (Expert)
Performance Level * Recreational / Fitness enthusiastCompetitive (local comps)Semi-Pro / National levelProfessional / Elite
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
03
SNP frequencies vary significantly between populations — this is essential for accurate interpretation of your genetic results.
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
If mixed or other, please specify
04
All optional. These benchmarks help us validate your genetic profile against your real-world performance. Leave blank any you don't know.
VO2 Max (if known)
Body Fat % (if known)
Hyrox Best Time
Hyrox Division N/AOpenProDoubles
'Fran' Time
'Murph' Time
Back Squat 1RM (kg)
Deadlift 1RM (kg)
05
Required for accurate dosing recommendations and body composition profile interpretation.
Height (cm)
Weight (kg)
Main Body Composition Goal * Lose fat / get leanerBuild muscle / gain weightMaintain current compositionRecomposition (lose fat & build muscle)
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
06
Your injury history validates your collagen and connective tissue genetic profile.
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 SprainsStress fracture(s)Other
Injury Frequency * Frequently (multiple times a year)Occasionally (once a year)Rarely (once every 2+ years)
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)
07
Your recovery patterns and sleep quality validate your inflammation, antioxidant, and caffeine-sleep profiles.
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)
Energy and focus the day after a hard training session is typically * High (ready to train again, sharp mentally)Moderate (bit tired, but functional)Low (foggy, flat, unmotivated)
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)
How quickly do you typically fall asleep at night? *
Sleep onset latency — a key marker for caffeine metabolism and stress-response genetics.
Within 15 minutes15-30 minutes30-60 minutesMore than an hour
08
How your body responds to fats, carbs, and fasted training validates your metabolic flexibility and carb tolerance profiles.
Are you 100% Vegan or Plant-Based? * NoYes
How many servings of leafy green vegetables (spinach, kale, rocket, asparagus) do you eat per week? *
Used to validate folate/MTHFR recommendations.
0-2 servings per week3-5 servings per week6+ servings per week
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 typically feel after a high-fat meal (e.g. steak, avocado, nuts)? * Energised and full for hoursNormal — no notable changeSluggish or low energy
How do you typically feel 1–2 hours after a high-carb meal (e.g. pasta, rice, bread)? *
Postprandial energy is a usable proxy for insulin sensitivity.
Energised and stableNormal — no notable changeSleepy, sluggish, or notable energy crash
If you fuel during long training/racing (gels, sports drinks, etc.), how do you tolerate it? * I can fuel aggressively (90+ g carbs/hour) without issuesI tolerate moderate fueling (45-60 g carbs/hour)I get GI issues with race fuelingI haven't tried race-day fueling / not applicable
Do you track macros or calories? * Yes, track macros/calories dailyYes, but only track proteinSometimes, but not consistentlyNo, I eat intuitively
09
Sweat rate and heat tolerance vary dramatically between athletes. These questions feed your hydration strategy and heat acclimation recommendations.
How would you describe your sweat rate during hard training? * Heavy sweater (clothes drenched, visible salt stains on kit)Moderate sweaterLight sweater (rarely soaked)
Do you crave salty foods? * Often — I crave salty foods regularlySometimesRarely or never
Have you experienced cramping during or after exercise? * Frequently — cramping is a recurring issueOccasionally — under specific conditions (e.g. hot races)Rarely or never
What is your current hydration strategy during long training sessions or races (60+ minutes)? *
Plain water onlySports drink (carbs + electrolytes)Salt tablets or capsulesElectrolyte tabs/powder (no carbs)Nothing during exerciseVaries depending on session
How would you describe your tolerance to training/competing in hot conditions? * Handle heat very well — minimal performance impactAverage — performance drops modestly in heatStruggle in heat — significant performance impact, slow to acclimateHaven't trained or raced in genuinely hot conditions
10
Current supplement use and caffeine timing feed multiple profiles — particularly the caffeine-sleep crossover and creatine response profiles.
Current Supplements (check all that apply) *
Protein powderCreatine monohydratePre-workout with caffeineOther pre-workout (stim-free)Vitamin DOmega 3 (Fish Oil)MagnesiumCollagenNone of the aboveOther
If you take Vitamin D, how often? * DailyOnly in the winterI do not take Vitamin DNot applicable (I didn't check Vitamin D)
If you take Creatine, what is your daily dose (grams)?
Typical daily caffeine intake (all sources combined: coffee, pre-workout, energy drinks, tea) * 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)
What time of day do you typically have your last caffeine? *
Critical for the caffeine-sleep crossover profile recommendation.
Before midday (12pm)Between 12pm and 3pmBetween 3pm and 6pmAfter 6pmI don't consume caffeine
How do you typically respond to caffeine? *
Great energy boostGood focusNo side effectsCauses anxiety or jittersDisrupts my sleepI don't feel it at all
11
Stress response and motivation patterns are strong behavioural validators of dopamine and catecholamine genetics.
Rate your current overall stress level *
1 = very low stress, 10 = extremely high stress
1 – Very low2345 – Moderate678910 – Extremely high
In a high-stress situation (e.g. competition, work deadline), how do you typically feel? * I feel focused and thrive under pressure (Warrior)I get anxious and overthink (Worrier)It depends on the situation
How would you describe your natural motivation to train? * Very consistent and self-motivatedMy motivation comes in wavesI struggle with motivation
12
Family medical history strengthens or moderates several profile recommendations and helps flag any safety considerations.
Family history of metabolic disease (Type 2 Diabetes, prediabetes, metabolic syndrome) * Yes — in immediate family (parents, siblings)Yes — in extended family (grandparents, aunts, uncles)No known family historyNot sure / unknown
13
Tell us how you'd like your report delivered.
Which report(s) would you like? *
Athlete Report (Detailed)Coach's Dashboard (1-Page Summary)
What style of report do you prefer? * Simple/Practical (minimal jargon, focus on actions)Detailed/Scientific (full explanations, more data)
What are your top priorities for this report? (check up to 3) *
Understanding my genetic strengthsIdentifying my genetic weaknessesBody composition & weight managementInjury prevention strategiesPersonalised supplement guidanceNutrition & diet optimisationRecovery & training load
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Tell us anything else that might help personalise your report.
What are your most specific questions for this genetic report?
Any training or diet patterns you've noticed about yourself?
Any other information you'd like to share?
15
We handle your sensitive health data with strict confidentiality under UK GDPR.
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About your data
We are collecting sensitive personal health data, including genetic information. This data will be used solely for the purpose of creating your personalised performance report and will be handled in accordance with our privacy policy.
I confirm this information is accurate to the best of my knowledge
I understand this report provides performance and lifestyle guidance, not medical diagnosis
I will discuss any significant health findings with my healthcare provider
I consent to Theorem Metabolic collecting and processing my sensitive personal health data (including genetic results and questionnaire responses) for the purpose of creating my personalised performance report
By submitting, your data is transmitted securely and stored in accordance with UK GDPR. You can request deletion at any time by contacting in**@*****em.fit.