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Gender:

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I am interested in the following Advanced Athletics services.

I am a competitive athlete and or a fitness enthusiast looking to take my performance to the next level. If yes, please answer the following questions.

What sport(s) and activites are you actively participating in?

For how long?

Are you currently participating in a strength and conditioning program?

If yes, what strength and conditioning program? (please describe)

I have an injury or physical disability which has limited my performance? If yes, please answer the following questions.

What is your specific injury or disability?

How long have you had this condition?

Have you sought medical treatment and/or physical therapy?

Was the treatment plan and physical therapy program followed to completion?

Was the treatment plan and physical therapy program successful?

I have difficulty focusing and finding or maintaining the mental 'zone' during important performance situations. If yes, please answer the following questions.

Do you find that distractions are difficult to ignore?

Have you experienced being in the 'zone'? *

Do you know how you entered the 'zone'?

Do you know what takes you out of the 'zone'?

Are you easily discouraged by your mistakes?

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