Client Background

Client Background Information
The purpose of this survey is to help you reflect on your or your child's readiness to begin mental training and the fit for our services.
Full Name

First NameLast Name
Email
example@example.com
Today's Date

MonthDayYear
DateHourMinutesAM/PM Option
What is your or your child's age
Child's name

First NameLast Name
What are the primary issues you or your child are facing now?
Have you or your child seen a mental coach/sport psychologist in the past?
What level is your or child's level, ranking/rating, etc..
On a scale 1-10 how open are you/your athlete to the idea of mental training?
On a scale 1-10 what is your or your child's comfort level talking about experiences (thoughts, feelings, actions)
Please describe how you or your child are best coached in terms of accountability, frequency of reinforcement/contact, level of need for engagement, etc...
Are you ready to begin mental coaching with Jeff Greenwald or a member of his team ASAP?
What is you or your child's ultimate goal related to sports achievement?
How did you find Mental Edge/Fearless Tennis or hear about Jeff Greenwald
Phone Number

Area CodePhone Number
If you would like to reach Jeff Greenwald directly, please contact him:

E: jeff@mentaledge.net

C: 415-640-6928
Should be Empty:

Client Background Information