Current School?

Height (cm)

Tell us about your family?

Describe your family, we want to know not just you but also learn about your family.

What are your interests/hobbies away from football?

Dominant kicking leg

Relevant Football Contacts

Please tell us the following: HEAD COACH: PHYSIO: STRENGTH & CONDITIONING/PERSONAL TRAINER: OTHER:

Medical History

Please tell us the following: CURRENT/PREVIOUS INJURIES: BODY MANAGEMENT ISSUES: PREVIOUS SURGERIES: OTHER:

TRAINING COMMITMENTS

Tell us what a regular training week would look like for you.

Monday:

Tuesday:

Wednesday:

Thursday:

Friday:

Saturday:

Sunday:

TECHNICAL ABILITY

Please self assess yourself on each of the following areas using the below scale

Kicking

Handballing

Marking

Disposal Efficiency

Clean Hands

Tackling

Goal Kicking

GAME UNDERSTANDING

Please self assess yourself on each of the following areas using the below scale

Reading the play

Decision Making

Positioning

Defensive Work Rate

Offensive Work Rate

PHYSICAL ATTRIBUTES

Please self assess yourself on each of the following areas using the below scale

Aerobic Capacity

Speed

Agility

Physicality

MENTAL ATTRIBUTES

Please self assess yourself on each of the following areas using the below scale

Competitiveness & Aggression

Resilience

Leadership & Communication

Effort

1% (shepherds, spoils etc.)

Positional Attributes

Strengths

Areas of Improvement

MORE ABOUT YOU

At what age did you enjoy playing football the most and why?

How much do you enjoy the game now?

LIFESTYLE HABITS - SLEEP

How many hours do you sleep per night?

How many minutes does it take you to get to sleep?

How many times do you wake up throughout the night?

Rate your average sleep quality

LIFESTYLE HABITS - STRESS

In life what do you find most stressful?

How do you cope with your stress?

LIFESTYLE HABITS - NUTRITION

Have you ever dieted before? If so, what was the diet, how long did you follow it for and what were the pros & cons?

List your current food intake for a typical day:

BREAKFAST

Meal

LUNCH

Meal

DINNER

Meal

GOALS

• Goal Setting provides direction on how to best achieve your personal and sporting goals. • Goals help us realise our dreams - They are the steps between what you imagine and what could be possible. • Ensure you are aiming high but also make realistic choices when setting goals. • Goals need to be measurable and constantly reviewed to track progression. WE USE SMART GOALS WHEN CREATING A GOAL • Specific • Measurable • Achievable • Realistic • Time-Bound

What is your goal for the next 4 weeks

My Goal (specific and measurable), Target date to complete goal, 2 steps I’ll take to reach my goal, 2 people that can help me reach my goal

What is your goal for this year?

My Goal (specific and measurable), Target date to complete goal, 2 steps I’ll take to reach my goal, 2 people that can help me reach my goal

What is your goal for the next 3 years?

My Goal (specific and measurable), Target date to complete goal, 2 steps I’ll take to reach my goal, 2 people that can help me reach my goal

INITIAL CONSULT FORM

INITIAL CONSULT FORM

Socials

Contact

Links