Rider Performance Coaching Intake Application

Rider Performance Coaching Intake Application

Please complete this form to apply for coaching and help us understand your goals and preferences.
Full Name

First NameLast Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Have you previously completed physical therapy?
How often do you ride or train?
Primary discipline(s)

Other
Competition level (if applicable)
What best describes why you’re applying: (Check all that apply)
Where do you notice issues when riding: (Check all that apply)
Are you currently experiencing pain related to riding?
Describe the pain (location, intensity, when it shows up):
Any previous injuries, surgeries, or diagnoses that affect riding?
What feels hardest for you in the saddle right now?
What have you already tried to fix this?
What would you want to feel different in your riding 3–6 months from now?
How important is it for you to address this right now?
Are you open to guided coaching and structured training to address this?
Which best describes what you’re looking for?
Investment range you’re prepared for if we’re a good fit:
Anything else you want me to know about you, your riding, or your horse?
Should be Empty: