Get To Know You/Athlete Info Sheet
Andrew Heldman - Sports Performance Coach
B.S. Exercise Science - University of Toledo (CSCS) Phone: (419-722-3443) Email: coachdrewperform@gmail.com
Athlete Info:
Name (Athlete)
First Name
Last Name
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Favorite color?
What do you do for fun? (hobbies, interests, etc.)
Favorite ice cream flavor?
Current age + grade:
Current school:
Current sport(s) played:
Primary position(s):
Years experience in sport(s):
What is your dominant hand/foot?
Left
Right
Ambidextrous
How many days a week do you currently train? (team or individual)
Do you currently, or have you ever worked with a Sports Performance Coach?
Yes
No
If yes, who? Do you still train with them?
What goals do you have for the next 6 months?
What areas would you like to improve in? Please pick 3 minimum:
Speed
Strength
Power/Explosiveness
Conditioning
Mobility/Flexibility
Injury Prevention
Injury Rehab/Prehab
Confidence
Other
Feel free to go into more details about anything selected above:
Anything specific you would like help with in your training?
Any upcoming tryouts, tournaments, or events?
How many hours of sleep do you get on school nights?
How often do you eat breakfast?
Are you taking any form of supplementation? (protein, creatine, etc.)
Parent Information:
Name
First Name
Last Name
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone number
Please enter a valid phone number.
Format: (000) 000-0000.
Preferred method of communication:
Text
Call
Email
Emergency Contact:
Name
First Name
Last Name
Email
example@example.com
Relation:
Mother
Father
Guardian
Commitment + Coaching Style
What motivates your child most?
Praise/Encouragement
Being Pushed Hard
Competition With Others
Personal Progress
Fun/Engagement
What's your child's personality like? (shy, confident, quiet leader, etc.)
Submit
Should be Empty: