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6 Week Challenge Pre-Assessment Form

This form is used to gather relevant information before you come in for your assessment. Take the time to provide us with as much information and detail as possible. Thank you!

Player D.O.B.
Which program(s) are you interested in?
Skill Development
Off-Ice Training
Both
Do you believe your son/daughter is able to achieve their short and long-term goals on their own?
Yes
No
Has your son/daughter struggled to be consistent in their own practice and/or training in the past?
Yes
No
Do you believe that your player will get better results with proper coaching, support, and accountability?
Yes
No
When are you be able to begin training?
Right away
In a couple weeks
In a month or more
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(586) 318-8645

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