Mental Edge Coaching - Intake Form
Full Name
*
Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Instagram/Tik-Tok Handle
Current Profession or Focus
Areas to Improve
Mindset
Discipline & Habits
Confidence
Athletic Performance
Mental Resilience
Goal Clarity & Execution
Stress Management
Leadership
Other
Describe a recent challenge
What does success look like for you in 90 days?
What's the #1 thing holding you back?
How committed are you right now?
*
6/10 - Thinking about it
8/10 - Ready, just need a plan
10/10 - All in. No excuses
Previous coaching experience?
Yes
No
Why might I be a good fit as your coach?
What type of coaching experience do you want?
Are you open to investing in yourself?
Yes
No
Possibly
Submit
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