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 Name Last Name
Email
example@example.com
Today's Date

Month Day Year
Date Hour Minutes AM/PM Option
What is your or your child's age
Child's name

First Name Last 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?
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 Code Phone 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