Client Background Information
Please complete the form below to apply for an opening to work with Jeff.
Full Name
First Name
Last Name
Email
example@example.com
Today's Date
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Day
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Date
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Minutes
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AM/PM Option
Client's Age
How did you hear about Jeff and how familiar are you with his approach/work?
Have you worked with a sports psychologist/mental coach? If so, briefly describe this experience
What is your level in your sport/ranking?
What are your primary challenges now? Please describe in detail.
How comfortable are you (client) to discuss feelings and behavior?
Please describe how you or your child are best coached in terms of accountability, frequency of reinforcement/contact, level of need for engagement, etc...
On a scale 1-10 how ready are you to begin mental coaching with Jeff Greenwald
What would you consider a successful outcome from working with Jeff?
Phone Number
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Area Code
Phone Number
Submit
Afer submitting you will be directed to Jeff's scheduling page to book a strategy session and explore the possiblity of working with Jeff directly.
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