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Intake Form
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Email
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Your email
General Information
This section is to learn more about who you are and who you are as an athlete.
Full Name
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Your answer
Phone Number
Your answer
What is your birth date?
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Where are you located?
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Canada
USA
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Other:
What city are you in?
Your answer
How would you describe your mindset during competition or high-pressure situations?
Your answer
Have you worked with a mindset coach before? If yes, please describe your experience.
Your answer
What specific challenges or mental barriers are you currently facing in your athletic pursuits?
Your answer
Do you respond better to tough love, handholding or somewhere in between?
Tough Love
Handholding
Somewhere in between
Not sure
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What gets you motivated?
Your answer
Are there any past experiences or limiting beliefs that may be affecting your athletic performance?
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Your answer
How do you typically handle setbacks or failures in your athletic journey?
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Your answer
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