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Interested in improving your mental game for riding? Fill out some info and we will be in touch shortly! We can't wait to hear from you!

Name

First Name

Last Name

Please also include parent's email if you are under 18.

Phone number

Please also include parent's phone number if you are under 18.

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###

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Birthday

YYYY

How did you find Mind Align?

What barn and location do you ride at?

Rate your level of satisfaction with the barn you ride at.

1 = extremely dissatisfied, 10 = extremely satisfied

What is your status as a rider?

How long have you been riding?

What discipline do you ride in?

What division do you show in?

Write N/A if you don't show.

Approximately how often do you show?

When is your next show?

Write N/A if you don't show.

Tell me about the horse(s) you primarily ride/show.

What are your personal riding goals?

Please give a brief overview of what you are looking to get out of mental performance training sessions.

Describe what you have been experiencing and how it interferes with your rides.

Do you experience this only at home, only at shows, or both at home and at shows?

Is there any history of this issue, or have you recently started experiencing it?

Are there specific scenarios that bring this out, or does this feel like it occurs randomly?

Rate your confidence/trust level in your own riding.

1 = little to no confidence, 10 = high confidence

Rate your confidence/trust level in your horse.

1 = little to no confidence, 10 = high confidence

Rate your confidence/trust level in your trainer.

1 = little to no confidence, 10 = high confidence

Are there any specific questions you'd like answered?

If not, write N/A. You will still get a full description of package options, pricing, how the process works, etc.

How would you like Julia to follow up with you?

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