VirtusFocus

1
Name* This field is required.
First Name
Last Name
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Birth Date* This field is required.
Date
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Day
Year
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Address* This field is required.
Street Address
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United States
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4
Phone Number
5
Email* This field is required.
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6
Did a VirtusFocus Athlete or Coach Refer You?* This field is required.Please tell us if an athlete currently using VirtusFocus or your coach recommended VirtusFocus to you.
YESNO
7
Let us know who recommended you to Virtus Focus
First Name
Last Name
8
Primary Sport(If Applicable)
9
Position(If Applicable)
10
Current Team/Club(If Applicable)
11
How many years have you been competing?* This field is required.
12
On a scale of 1–10, how would you rate your current mental game?* This field is required.(1 = Needs work, 10 = Elite)
1
2
3
4
5
6
7
8
9
10
13
What are your biggest mental struggles when you need to perform?* This field is required.(Check all that apply)
Confidence
Focus
Pressure
Fear of failure
Pre-game nerves
Handling mistakes
Staying consistent
Letting go of bad outcomes
Motivation
Other
14
What usually goes through your mind before a big moment?* This field is required.
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Ok
15
What thoughts or habits do you think are holding you back from performing your best?* This field is required.
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16
What does success look like for you over the next 6 months?* This field is required.
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17
What are 2–3 mindset goals you’d love to achieve in this program?* This field is required.
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What are you hoping to learn or gain from VirtusFocus?* This field is required.
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19
How committed are you to working on your mental game?* This field is required.
Just curious
Pretty serious
All-in — let’s go
20
Do you currently have a coach, mentor, or trainer working with you on mindset?* This field is required.
YESNO
21
How involved are your parents/guardians in your performance journey?* This field is required.
Very involved
Somewhat involved
Not involved
Prefer not to say
22
Do you want to include your parents/guardians in your mindset coaching?* This field is required.All of your personal coaching and input is private and not shared with anyone other than you! Your parent/guardian will receive weekly updates on how they can support you and help with you mindset growth!
YESNO
23
Enter your parent/guardian email so they can be involved.
example@example.com
Confirm Email
24
What’s the best way to reach you for coaching updates and feedback?* This field is required.
Email
Text
Phone Call
25
What’s your preferred time of day to receive your mindset emails?* This field is required.
Morning
Midday
Evening
No preference
26
Is there anything else you’d like us to know about you, your goals, or your challenges?
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VirtusFocus - Champion Maker Program* This field is required.Monthly Subscription
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VirtusFocus Founding Athlete Group
Unlock your potential with the VirtusFocus - Champion Maker Mindset Program — a daily mental performance system built for athletes who want to level up both in and out of sport. This program helps you build confidence, set meaningful goals, and develop powerful habits through guided check-ins, mindset strategies, and weekly self-assessments. Designed for athletes of all ages and sports, VirtusFocus is your playbook for becoming more focused, resilient, and ready for the moment.
for the first month then, for each month
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