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JB mental performance
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Intake form
Help us serve you better
Name
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Email address
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What is your primary sport?
Please select at least one option.
Tennis
Golf
Basketball
Football/Soccer
Swimming
Baseball
Athletic
Other
What are your mental performance goals?
Please select at least one option.
Confidence Building
Focus Improvement
Anxiety Management
Goal Setting
Visualisation Techniques
Stress Reduction
Motivation Enhancement
Other
What is your current level of competition?
Select
Recreational
Amateur
High School
Semi-Professional
Collegiate
Professional
How did you hear about JB mental performance?
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Social Media
Search Engine
Referral
Event
What challenges are you currently facing in your sport?
Which service or services are you interested in?
Please select at least one option.
1-1 Mental coaching
Team performance mindset workshops
Parent education and support
Additional questions or comments
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