Sierra Center for Peak Perfromance

STEP I:
PERSONALIZED ASSESSMENT

Please use this form to set goals and action steps and Dr. Relax will turn your goals and action steps into powerful affirmations and mental rehearsals that will motivate, inspire and reinforce your efforts to reach your goals. 

To take the first step in the development of a personalized training program that is specific to you, your sport and your unique circumstances, simply complete this form and click on "Send" at the bottom. 

You will receive a confirmation of your successful submission or an error message that will tell you what you missed. If you receive the error message just hit "Back" in your browser, correct the error and hit "Submit" again at the bottom of the page.

What is your first name?
What is your last name?
What is your gender?
What is your age?
Are you an active competitor?
What is your sport/interest?
When does your season begin and end?
What is the date of your next important competition?
What are your process goals? Give at least 4 Goals.

Set Process goals such as "To practice more often." 

Avoid Outcome goals such as "To win more often."		 1.
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What must you do to achieve each of the goals stated above? (What actions must you take?)

* Note that Step 1 is the action you must take to achieve Goal 1 and each step should be paired with each goal above.

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What is the single biggest challenge to you reaching your goals?
What feelings or emotions do you have when competing and everything is perfect? (Try to name more than four if you can.) 1.
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What specifically do you believe my tapes and training will help you to improve?
Name three athletes or people you admire because they have the competitive traits that you desire. 1.
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E-Mail address to receive your draft affirmations

 

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