New Athlete Questionnaire
First Name
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Last Name
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E-mail Address
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Gender
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Select or enter value
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Have you previously participated in any sports performance training?
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Select
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What is your primary sport?
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If other, please list:
Please list your school and/or club organizations, if applicable.
How many times do you practice/exercise per week?
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Have you been injured in the last year?
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Yes
No
Please provide date and type of injury.
Have you ever had an injury that required surgery?
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Yes
No
If yes, please list the surgery.
If applicable, for any current or previous orthopedic injuries/conditions, who is/was your Orthopedic Surgeon?
Do you have any past or present nutrition related concerns that you would like to communicate?
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Yes
No
Please explain past or present nutrition related concern.
Do you have any food allergies or intolerances?
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Yes
No
Please explain food allergies or intollerances.
We offer Sports Nutrition services. Are you interested in being contacted by our Sports Dietitian?
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What is your sports nutrition goal?
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What is your preferred Training HAUS location?
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Training HAUS – Eagan (Flagship)
Training HAUS – Eden Prairie
Training HAUS – Edina
Training HAUS - Hudson
Training HAUS - Plymouth
Training HAUS – Shakopee
Training HAUS – Stillwater
Training HAUS – Vadnais Heights
Training HAUS – Waconia
Training HAUS – Woodbury
We offer Sport Psychology services. Are you interested?
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Yes
No
Do you consent to sharing your information with Premier Sport Psychology?
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Yes
No
Training HAUS has teamed up with NCSA College Recruiting to help athletes with the dream of playing their sport in college. Does your student-athlete want to play their sport in college, receive a free recruiting profile and recruiting assessment call?
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Yes, my student-athlete wants to play in college & receive a FREE recruiting profile.
No thank you.
High School Grad Year
Phone Number
Is athlete under 18 years old?
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Yes
No
Parent Name
*
Parent Email
*
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