Youth Athlete Questionnaire


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Below is a quick questionnaire dealing with our Youth Athletic Program. If you would take a few minutes to fill it out we would greatly appreciate it.


1) Area you feel your child needs to improve their athletic performance:

2) Does your child suffer from any type of pain?
If other, please describe:

3) Is this pain due to an injury?

4) What other training options (classes) would you like to see offered at EXSP?:
If other, please describe:(1)

5. Would you like to schedule assesstments with Training?

Name:
Address:
E-mail:
Age of Child:


Thank you for taking the time to complete our questionnaire!