You can always press Enter⏎ to continue
Upper Mentality: Mental Game Assessment
Taking this five minute assessment is a great first step to conquering your mental game. If you are under the age of 18, please complete this with an adult.
16
Questions
START
1
Name
*
This field is required.
First Name
Last Name
Previous
Next
Submit
Press
Enter
2
Email
*
This field is required.
Please provide your parent/guardians email if you are under the age of 18. We will use this to share with you the results of your assessment.
example@example.com
Previous
Next
Submit
Press
Enter
3
List your age, the level you play, and the team you play for.
For example) 14, AAA, Quinte Red Devils
Previous
Next
Submit
Press
Enter
4
I feel confident in my abilities to perform well in my sport.
1
2
3
4
5
Not so true
Very true
Previous
Next
Submit
Press
Enter
5
I am afraid of making mistakes.
1
2
3
4
5
Not so true
Very true
Previous
Next
Submit
Press
Enter
6
I am generally motivated and excited to get better at my sport. I enjoy the grind.
1
2
3
4
5
Not so true
Very true
Previous
Next
Submit
Press
Enter
7
I am good at bouncing back from mistakes, and let them hold be back as little as possible.
1
2
3
4
5
Not so true
Very true
Previous
Next
Submit
Press
Enter
8
If I don't feel confident, then I won't perform well.
1
2
3
4
5
Not so true
Very true
Previous
Next
Submit
Press
Enter
9
Even when I feel nervous or lack confidence, I still manage to find a way to perform well.
1
2
3
4
5
Not so true
Very true
Previous
Next
Submit
Press
Enter
10
I do a good job of mentally preparing for games.
1
2
3
4
5
Not so true
Very true
Previous
Next
Submit
Press
Enter
11
My nerves usually to get the best of me, and hold me back from my full potential.
1
2
3
4
5
Not so true
Very true
Previous
Next
Submit
Press
Enter
12
I do a good job of moving past bad games/results.
1
2
3
4
5
Not so true
Very true
Previous
Next
Submit
Press
Enter
13
I have a good relationship with my coach.
1
2
3
4
5
Not so true
Very true
Previous
Next
Submit
Press
Enter
14
Phone Number
Please provide your parent/guardians phone number if you are under the age of 18.
Previous
Next
Submit
Press
Enter
15
Would you like to learn more about our 1-on-1 mental performance coaching programs?
*
This field is required.
YES!
Not at this time
Previous
Next
Submit
Press
Enter
16
I would like to sign up for email updates from Upper Mentality for special offers, blog posts, and more.
*
This field is required.
If you select yes, then you can unsubscribe at anytime.
YES!
Not at this time
Previous
Next
Submit
Press
Enter
Should be Empty:
Now create your own Jotform - It's free!
Create your own Jotform
Question Label
1
of
16
See All
Go Back
Submit
