Student-Athlete Questionnaire
Please complete and submit this questionnaire at least 48 hours before our first session.  Thank you in advance for your feedback!
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Email *
Today's Date: *
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Full Name:  *
Age: *
Grade: *
Sports/Extracurricular Activities:  *
School: *
Travel/Club Team (outside of school): *
Address with Zip Code:
Your email address: *
Birthday: *
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Your goals to accomplish this season (list as many as you'd like): *
Things, Situations, People, and/or Thoughts that distract or worry you:
 *
Your top strengths/best qualities (as an athlete, a student, a friend, a sibling, and/or a child):
 *
Your biggest challenges in these roles:
 *

How do you learn most easily? Check all that apply and provide any additional information if needed.

 *
Required
How do you relax and calm yourself down from the stress/grind of school and sports? *
What do you do for fun (outside of your sport)?
Are there any other coaches/instructors helping you (private lessons, personal trainer, nutritionist, counselor)? *
What is your definition of "mindset"? *
What is your definition of an "elite mindset"? Does anyone come to mind?  *
How can your coaches and teammates lift you up when you're struggling? (EX: do you need a minute to yourself, do you need immediate encouragement, do you want to talk technique?) *
Do you have a pre-game and post-game routine? If so, please share details!  *
A copy of your responses will be emailed to the address you provided.
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