Student-Athlete Questionnaire
Please complete and submit this questionnaire at least 48 hours before our first session.  Thank you in advance for your feedback!
Sign in to Google to save your progress. Learn more
Email *
Today's Date: *
MM
/
DD
/
YYYY
Full Name:  *
Age: *
Grade: *
Sports/Extracurricular Activities:  *
School: *
Travel/Club Team (outside of school): *
Address with Zip Code:
Your email address: *
Birthday: *
MM
/
DD
/
YYYY
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 challenge(s) in these roles (please be specific):  *
Your biggest upside, aka "opportunity" when you consider your strengths, talent, and passion: *

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.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms