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ATHLETE TRAINING



	What do you think about sport? Like it just the way it is: 8.9% Think it's too competitive: 6.2% It's intimidating: 2.8% It's what I do for fun: 17.4% It's my life - I live it, breath it, just love it!: 50.4% Wish it was different and want to be part of changing it: 11.1% I don't know: 1.5% Other: 1.7% Total number of votes: 597 More Polls

Athlete Presenter Questionnaire

Please fill in the fields below and press submit. Upon submission of your questionnaire you will receive a confirmation e-mail letting you know that we have received your information. If you do not receive this e-mail or if you encounter any problems using the form, please contact us at Mark@esteemteam.com.


Athlete Name
Phone Number (with area code)
E-mail Address
Sport
Sport Level
Which topic(s) do you speak about in your current presentation? Please place a check mark to the left.	Please rate your comfort level with this topic even if the subject doesn’t form part of your current presentation. 1 (low) 5 (high)
Goal Setting
Making Positive Choices
Perseverance
Giving 100%
Overcoming Obstacles
Healthy, Active Living
Handling Stress
Organizational Skills
Tolerance
Honesty
Getting Involved
Being a Team Player
Accepting Defeat
Peer Pressure
Decision Making
Smoking
Driving (speeding, seatbelts, drinking)
Shoplifting & Theft
Gang Activity
Alcohol & Drug
Fighting & Bullying
Nutrition
Meanness
Laziness
Self-Centredness

Training Received to Date
Please put a check mark in the appropriate box below and describe the amount and nature of Esteem Team training you have received to date.
Quantity of Training	Name of Trainer Year/Month Completed
Full 16 Hours (2 day course)
Informal one on one or partial training.	Please describe the training received
No training received

Availability
Is there anything we should know about your availability and schedule?

Language

Please confirm the date of your last presentation on behalf of The Esteem Team (YYYY/MM/DD).

Please see our privacy policy to answer any questions you may have regarding sharing information with us.