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Welcome to Gazelle Nutrition

Working Hours
Monday 09:00 - 17:00 EST
Tuesday 09:00 - 17:00 EST
Wednesday 09:00 - 17:00 EST
Thursday 09:00 - 17:00 EST
Friday Closed
Saturday Closed
Sunday Closed

Monday & Thursday 9:00 - 17:00 EST, Friday by Appointment

Toronto 416-807-9337

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Sports Nutrition Assessment Form

Gazelle Nutrition Lab / For Clients / Sports Nutrition Assessment Form
  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY

  • Please fill out the following information to the best of your knowledge. Certain items may not apply to you (e.g. coach name and address). If they do not, please leave those sections blank.

  • Medical Information

  • NameAddressPhone
  • (E.g. physiotherapist, chiropractor, naturopath, athletic therapist, massage therapist):
  • Laboratory values:

    If you have had blood work done recently this is great. Please provide any numbers you have for the indices in the table below.
  • Date Format: MM slash DD slash YYYY
  • CMP (Comprehensive Metabolic Panel)
  • CBC (Complete Blood Count)
  • Other
  • Physical Status

  • Body composition:

    If you have had your body fat and muscle mass estimated by devices such as skinfold calipers, the Bod Pod, or bioimpedance analysis please provide the information below.
  • Date Format: MM slash DD slash YYYY
  • Lifestyle/ Sports Information

  • Coach

  • List from newest to oldest
    Type of Injury:Date Injured:Therapy? (E.g physio):Time to heal/ongoing: 
  • List activity in each day of the week below.
    MonTueWedThurFriSatSun 
  • Diet

  • 2-3 hours before workout?:1 hour before workout?:During a workout?:After a workout?:
  • 1.2.3.
  • This field is for validation purposes and should be left unchanged.
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