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Parent Questionnaire

Parent(s), this is the first step in our program selection process. Upon review we will contact you via a phone call to discuss your son’s eligibility to enter our coaching program.  Please fill out this questionnaire as accurately as possible. Thank you!

Coaching Youth Contact Form

Does your son experience high levels of anxiety?

Does your son use drugs of any type?

Does your son openly discuss his concerns and problems with you?

Is there a negative influence in your son’s life that needs to be removed?

Does your son have a current mentor or someone he looks up to?

12 + 12 =

Note:  All information on this questionnaire is confidential and will not be shared to a 3rd party.

Thank you for considering Tier 1 Performance Coaching ! 

Give us 48 hours to review your specific needs and goals.