Peak Potential Questionnaire
Fantastic that you are interested in the Peak Potential Hockey Project and building your mental fitness.

We always want to make sure the program is the right fit for the player, so I'd like to ask you a couple questions prior to sending you the enrollment link. Once we read your responses, we can suggest an appropriate direction.
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Email *
Today's Date *
MM
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DD
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Name *
Best contact Phone Number
Player Date of Birth *
Current Level of Hockey or Last Level Played *
Level of Hockey Desired to Play Next Season *
What is your long term goal in hockey? *
Puck confidence *
I don't want the puck right now
It's my puck - go get your own puck
Ability to Manage Emotions *
I'm a 5 star roller coaster
Cool as a cucumber
Consistent Compete Level and Work Ethic *
Very low
Very high
Goal Setting and Practice Habits (On and Off Ice) *
I don't have a plan, I just show up
I am 100% dialed in
Ability to recover from mistakes *
I don't recover, I play worse
My best shift is my next shift
Ability to play my best in the biggest games in the biggest moments. *
This is where I try to survive
This is where I thrive
My level of fun and passion for the game right now *
Very low
Very high
How I would describe my relationship with myself. *
Super easy going
Very critical
How important is it to get started right away? *
Not important at all
I should have started yesterday
My negativity level *
Butterflies and Sunshine
I find something wrong with everything
Choose the response that best suits you *
Is there anything you are uncertain about regarding the Peak Potential Project?
 *
Is there anything else we should know? *
If we feel you (your player) is an ideal candidate for the program, would you prefer *
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