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360° IMPACT™ Youth Champion Mindset Check-In
FOR YOU


Let me tell you a little about this check-in...

This helps me get to know you and understand what you’d like to work on, get better at, or feel more confident about.
 

There are no right or wrong answers. Choose anything that feels interesting, challenging, frustrating, or important to you right now. Your answers help me figure out where coaching can be most helpful.


Think of this as our starting point. The more I understand about you, the more I can make coaching meaningful and useful for you.
 

FOR PARENTS / GUARDIANS
 

You’re welcome to complete the first part of this check-in with your kid or on their behalf. Please make sure you complete the parent portion as well, as your perspective helps provide a fuller picture of your kid and where coaching may be most helpful.
 

The 360° IMPACT™ Youth Champion Mindset approach helps young people build skills such as confidence, communication, resilience, focus, emotional awareness, and leadership—skills they can use at school, in sports and activities, at home, and in everyday life.
 

This is a forward-focused coaching program, not clinical therapy. The tools and activities are informed by sports psychology, neuroscience, and evidence-based coaching practices and are designed to help young people understand how they think, respond to challenges, and build habits and skills that support their growth.

Tell Me a Little About You

What would you like to get better at? (Choose as many as you want.)

Parent/Guardian Information

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