Des Moines Athlete Questionnaire

Please answer a few quick questions!

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Question 1 of 7

What is your Athlete's name?

Paragraph answer

Question 2 of 7

Athlete's Age/Grade?

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Question 3 of 7

What athletic skill needs the MOST improvement?

(Select all that apply)

A

Speed

B

Agility

C

Strength

Question 4 of 7

Primary Sport looking to improve?

(Select all that apply)

A

Track & Field

B

Basketball

C

Volleyball

D

Soccer

E

Baseball/Softball

F

Football

G

(Other)

Question 5 of 7

We go all out for any athlete we allow in to our program, are you committed to buying in to a process that gets results?

A

I'm committed

B

No

Question 6 of 7

Please Provide: Parent/Guardian name and contact info

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Question 7 of 7

Write anything else we should know about you/your athlete! Please subscribe to our email sequence to get updates on class info on the next slide!

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Name

Email

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