Secrets of Champions™

First Name

Last Name

General Level of Play

How would you rate your present level of play in general?

1 10

5

How would you rate your present effort level in working toward improving your overall game?

1 10

5

How would you rate your willingness to work harder in bettering your overall game?

1 10

5

Skill Development

How would you rate your present football skills?

1 10

5

How would you rate your present effort in working toward improving your football skills?

1 10

5

How would you rate your willingness to work harder in bettering your football skills?

1 10

5

Team Skills

How would you rate your present leadership ability?

1 10

5

How would you rate your present effort level in working toward improving your leadership?

1 10

5

How would you rate your willingness to work harder in bettering your leadership?

1 10

5

How would you rate your present level of hustle?

1 10

5

How would you rate your present effort level in working toward improving your hustle?

1 10

5

How would you rate your willingness to work harder in bettering your hustle?

1 10

5

Situational and Game Awareness

How would you rate your present level of situational and game awareness?

1 10

5

How would you rate your present effort level in working toward improving your situational and game awareness?

1 10

5

How would you rate your willingness to work harder to achieve your peak situational and game awareness?

1 10

5

How would you rate your present ability to listen?

1 10

5

How would you rate your present effort level in working toward improving your listening ability?

1 10

5

How would you rate your willingness to work harder in bettering your listening ability?

1 10

5

How would you rate your present ability to communicate on the court?

1 10

5

How would you rate your present effort level in working toward improving your communication?

1 10

5

How would you rate your willingness to work harder in bettering your communication?

1 10

5

Strength and Conditioning

How would you rate your present level of absolute strength?

1 10

5

How would you rate your present effort level in working toward improving your absolute strength?

1 10

5

How would you rate your willingness to work harder in bettering your absolute strength?

1 10

5

How would you rate your present level of power endurance?

1 10

5

How would you rate your present effort level in improving power endurance?

1 10

5

How would you rate your willingness to work harder to improve power endurance?

1 10

5

How would you rate your present level of agility?

1 10

5

How would you rate your present effort level in improving agility?

1 10

5

How would you rate your willingness to work harder to improve agility?

1 10

5

How would you rate your present level of quickness?

1 10

5

How would you rate your present effort level in improving quickness?

1 10

5

How would you rate your willingness to work harder to improve quickness?

1 10

5

How would you rate your present level of movement quality?

1 10

5

How would you rate your present effort level in working toward improving your movement quality?

1 10

5

How would you rate your willingness to work harder in bettering your movement quality?

1 10

5

How would you rate your present level of conditioning?

1 10

5

How would you rate your present effort level in working toward improving your conditioning?

1 10

5

How would you rate your willingness to work harder in bettering your conditioning?

1 10

5

How would you rate your present level of flexibility?

1 10

5

How would you rate your present effort level in working toward improving your flexibility?

1 10

5

How would you rate your willingness to work harder in bettering your flexibility?

1 10

5

Injury Prevention

How would you rate your present awareness of injuries?

1 10

5

How would you rate your present effort level in working toward improving awareness of injuries?

1 10

5

How would you rate your willingness to work harder toward improving awareness of injuries?

1 10

5

How would you rate your present ability to comply with professionals helping you with injuries?

1 10

5

How would you rate your present effort level in working toward improving your compliance?

1 10

5

How would you rate your willingness to work harder toward improving your compliance?

1 10

5

Energy Management

How would you rate your present ability to manage your daily energy?

1 10

5

How would you rate your present effort level in managing your energy throughout the day?

1 10

5

How would you rate your willingness to work harder in bettering your energy management?

1 10

5

Nutrition

How would you rate your present ability to manage your daily energy?

1 10

5

How would you rate your present effort level in managing your energy throughout the day?

1 10

5

How would you rate your willingness to work harder in bettering your energy management?

1 10

5

Sleep, Repair and Recovery

How would you rate your current sleep habits in helping you achieve success?

1 10

5

How would you rate your present effort level in bettering your sleep?

1 10

5

How would you rate your willingness to work harder in bettering your sleep?

1 10

5

Healthy Living

How would you rate your current lifestyle in terms of healthy habits?

1 10

5

How would you rate your present effort level at maintaining a healthy lifestyle?

1 10

5

How would you rate your willingness to work harder toward achieving a healthier lifestyle?

1 10

5