Four

First and Last Name

What is your preferred contact method (e.g., email, phone, text, etc...)

What is your age?

Which sport do you play?

Time of involvement in the sport (years and/or months)

Competitive Level (recreational athlete, amateur, or professional)

What do you like about your sport?

What motivates you to succeed?

How did you get to the level you are now? Coaches, previous training, by yourself?

What are your sport-related goals in a year? two years? and five years?

What do you want to accomplish by learning mental skills (e.g. improving your mental game, improving attention, winning more often)?

Have you had any previous experience with mental training? Can you tell me what that experience was like for you?

If you had mental training before, who was the sport psychology specialist and what are his/her qualifications?

What was the explanation about mental training given to you at that time?

How did you hear about Biofeedback or Sport Psychology services?

Referred by (if any):

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