Name
*
First Name
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E-mail
*
Address
Street Address
Street Address Line 2
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State / Province
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Please Select
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Country
Phone Number
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Area Code
Phone Number
What is your Current Ranking? (State, Regional, Sectional, National, or World)
How do you feel about your current performance situation in general?
In reviewing your win/loss record what is your perspective on your current ranking position?
Describe your performance style (E.g aggressive, defensive)
Of the 4 Primary Development Areas (Technical, Mental, Strategic and Physical) list in order of importance which of the areas your feel is most in need of improvement:
Technical Skills
1
2
3
4
5
6
7
8
9
10
Need Improvement
Great
1 is Need Improvement, 10 is Great
Mental/Emotional Skills
1
2
3
4
5
6
7
8
9
10
Need Improvement
Great
1 is Need Improvement, 10 is Great
Strategic Skills
1
2
3
4
5
6
7
8
9
10
Need Improvement
Great
1 is Need Improvement, 10 is Great
Physical Skills
1
2
3
4
5
6
7
8
9
10
Need Improvement
Great
1 is Need Improvement, 10 is Great
Check the following areas of skill where you have a current development plan in place.
Technical Skills
Mental/Emotional Skills
Strategic Skills
Physical Skills
Explain any current development plans in place here, if applicable.
Do you feel you are under-performaning in any way? For example: If you were at the level you think you should be at, would it exceed your current ranking? Explain.
What is your most obvious mental weakness?
If there was one thing you could change about your mental game what would it be?
Rate the following Mental/Emotional performance areas you feel you are in need of development.
Very Satisfied
Satisfied
Somewhat Satisfied
Not Satisfied
Managing competitive anxiety (nerves)
Managing your emotions
Manage your thinking
Managing your ability to perform under pressure
The ability to sustain a lead
The ability to come from behind
The ability to beat opponents ranked ahead of you
The ability to beat opponents ranked beneath you
Managing the pressure you feel from others
Managing the pressure you feel from within
The ability to find your “second wind” physically
The ability to let go and trust your instincts
The ability to make good decisions under pressure
The ability to use your core strengths when competing
The ability to sustain a winning streak
The ability to bounce back from a tough loss
The ability to maintain a balanced perspective
The ability to enjoy competing more
The ability to maintain focus longer
The ability to control doubts
The ability to breakthrough more often
Managing momentum shifts
The ability to come from behind
How well are the pieces of your mental performance puzzle coming together? Rate yourself from 1 – 5 on the following questions to see what pieces of the puzzle you’re missing and what areas need improvement. Answer each question by checking your answer and then add up the total number of points accumulated. Compare your total score with the Worthy to Win Rating Assessment below.
How much of your potential do you feel you are currently using in competition?
1
2
3
4
5
Worst
Best
1 is Worst, 5 is Best
How often do you feel you “choke” away opportunities while competing?
1
2
3
4
5
Worst
Best
1 is Worst, 5 is Best
How often do you feel guilty that you are not competing at the level you believe you should be?
1
2
3
4
5
Worst
Best
1 is Worst, 5 is Best
Do you have a pre-game mental routine that you are disciplined to stick with that effectively prepares you for pressure, nerves, anxiety?
1
2
3
4
5
Worst
Best
1 is Worst, 5 is Best
Do you have a clear understanding of those mental/emotional obstacles that stand in your way of better performances?
1
2
3
4
5
Worst
Best
1 is Worst, 5 is Best
Do you struggle at times to control your emotions while competing?
1
2
3
4
5
Worst
Best
1 is Worst, 5 is Best
How often do you beat opponents ranked above you?
1
2
3
4
5
Never
Very Often
1 is Never, 5 is Very Often
How often do you beat opponents ranked below you?
1
2
3
4
5
Never
Very Often
1 is Never, 5 is Very Often
How often do you feel unfulfilled with your competitive experiences?
1
2
3
4
5
Very Often
Never
1 is Very Often, 5 is Never
How often do you effectively manage momentum shifts while competing?
1
2
3
4
5
Never
Very Often
1 is Never, 5 is Very Often
At this point in time, which situation is most likely the one where you would completely trust in your natural instincts?
Far ahead in score (1 point)
Slightly ahead in score (2 Points)
Even in score (3 Points)
Slightly behind in score (4 Points)
Far behind in score (5 Points)
How often do you come from behind while competing?
1
2
3
4
5
Never
Very Often
1 is Never, 5 is Very Often
How well are you at finding and keeping the right support crew? (coaches, trainers, supporters etc…)
No Crew (1 point)
Inconsistent (2 Points)
Half the Time (3 Points)
Fairly consistent (4 Points)
Very consistent (5 Points)
How proficient are you in using your strengths to pull you through tight situations while competing?
Never (1 point)
Rarely 1-30% (2 points)
Half the Time 50%+ (3 Points)
Often 80%+ (5 points)
Do you annually set and monitor specific goals relating to performance results and skill development?
Never (1 point)
Rarely (2 points)
Sometimes (4 points)
Often (5 points)
Do you initiate confronting your fears on a regular basis?
No (1 point)
Rarely (2 points)
Somewhat (4 points)
Absolutely (5 points)
Do you have the ability to track distracting thoughts and shift gears before those thoughts pull you down?
Never (1 point)
Rarely (2 points)
Sometimes (3 points)
Often (5 points)
Do you “beat yourself up” for a prolonged period of time after a tough loss?
1
2
3
4
5
Often
Never
1 is Often, 5 is Never
How successful are you at developing and maintaining winning streaks?
1
2
3
4
5
Never
Often
1 is Never, 5 is Often
How often do you experience a feeling of satisfaction with your performance results and/or development?
1
2
3
4
5
Never
Often
1 is Never, 5 is Often
Does your career as an athlete feel like it overshadows everything else in your life?
1
2
3
4
5
Never
Often
1 is Never, 5 is Often
How successful are you at riding through the waves of performance pressure that you feel during competition?
1
2
3
4
5
Never
Very
1 is Never, 5 is Very
How often do you engage in self-defeating or self-sabotage behaviors relating to your performances?
1
2
3
4
5
Often
Never
1 is Often, 5 is Never
How often do you feel worthy of the breakthroughs you know you are capable of having?
1
2
3
4
5
Never
Often
1 is Never, 5 is Often
Submit
Your Score: 25-40 points - Most pieces are missing; quick action is critical!
41-55 points: A few pieces are in place, your future is at risk.
56-90 points: Many pieces are in place, work on improving.
91-110 points: Your foundation is solid; keep refining.
111-125 points: Keep working to prepare for future challenges.
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