Mindset Elite Intake

Mindst Elite Intake
Please fill out the following survey so I can better support you as your mindset coach. I am here to help teach you new tools to harness the power of your mindset so you can unlock your greatest potential and find more joy and confidence in your sport. I would recommend doing this on a desktop/laptop.
Name*
Age*
Phone Number*
Your primary sport*
How long have you competed in this sport?*
What have been 2 of your greatest successes or achievements in your sport?
What has been your biggest upset or challenge?
What is your primary goal in the next 12 months in your sport?
Do you have any experience with mindset training?

I have worked with a sports psychologist or mindset coach beforeI've read some booksI've been to therapy- not sports relatedI took a course/program/workshopNo experience at all
Please rate your level of overall mental toughness in competition.

SuperiorExcellentGoodAverageInconsistentPoorIt's a problem 🤬
When are you most likely to doubt yourself?
Rate your most typical level of self-confidence from 1-10
How dedicated are you to training and improving on a scale of 1-10?
Do you perform relaxed and free in competition or more tense and controlled?
What are the top areas that can decrease your self-confidence in sports? Select all that apply.

Lack of experience in my sportI have too many doubts about my ability to performNegative comments from othersI worry to much about failing or performing poorlyLack of past success in my sportA poor week of training prior to competitionPoor fitness levelLack of confidence in my techniqueI lose confidence easily after making mistakesI never feel like I perform up to my expectationI get easily distractedPressure to perform better than last timeNegative thoughts that creep inToo much on my plate outside my sport
What mental training strategies would you benefit from the most? Select all that apply

Improving self-confidenceStaying focusedManaging expectations from family, peers, coachesManaging expectations I have of myselfImproving trust in my abilityEnhancing practice efficiencyStaying motivated over a long seasonImproving my activation levels (how excited/pumped I get)Boosting my communicationCoping with perfectionismCoping with fear of failureUsing imagery to improve performanceGetting in the zone strategiesBetter composureDealing with anxietyPre-performance routinesCoping with the fear of disappointing others (team, coach, partner etc.)Coming back from injuryPlacing too much of my self-value/worth into my sportLetting go of mistakesBoosting positive self-talkSport / life balance
What barrier (or barriers) might limit your ability to learn and apply mental training skills on a consistent basis?

None- I do not anticipate any barriers- I'm open and readyLack of timeWhen I learn things about myself that are uncomfortable- I don't like itI'm not really into this it's- just part of my packageI don't want a mental game coach messing with mind
What else would be helpful for me to know about your sports journey so far and your future athletic intentions?
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Mindst Elite Intake