i want to get to know you better Preferred Name * First Name Last Name Email * Phone * (###) ### #### Age * Gender Identity Preferred Pronouns Any access needs I should be aware of? Preferred Method of Communication * email text phone What goals do you have for our work together? * What barriers are getting in the way of achieving your goals? * How would you describe your physical health at this point? * How would you describe your mental performance at this point? * How would describe you overall sense of well-being at this point? * What other professionals are you partnering with to support your mental performance or wellness journey? * Have you worked with a mental performance or wellness coach before? How was that experience? * Is there anything else you want me to know about you or your life, job, sport, etc. at this point? Thank you!