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Mental Performance & Strategy Assessment

This worksheet is designed to help you reflect on your current mental performance challenges, strengths, and strategies you are using.


Completing this assessment will give us a clear picture of where you stand and what areas we’ll focus on throughout our sessions together.


The information you provide will be revisited in the first and last session to evaluate progress and make adjustments to your approach as needed.

Birthday
Day
Month
Year

Current Wellness Snapshot

(1 = Very poor, 10 = Excellent)

(1 = Very poor, 10 = Excellent)

(1 = Sedentary, 10 = Very active and consistent exercise)

(e.g., meditation, exercise, sleep hygiene)

(1 = Never, 10 = Daily and consistently)


Support System Eval

(1 = Not supported at all, 10 = Fully supported)

(1 = No access or ineffective, 10 = Highly effective and accessible)

(1 = Completely disconnected, 10 = Strongly connected and supported)

(1 = Never comfortable, 10 = Always comfortable and proactive)

Section 1: Current Performance & Challenges

(e.g., stress, anxiety, overthinking, self-doubt, imposter syndrome, focus issues, burnout, etc.)

(Describe situations where these challenges have impacted your ability to perform at your best.)

(Please list strategies you’re using now, including any self-help tools, routines, or habits.)

Section 2: Strengths and Resources

(Consider things like focus, resilience, confidence, decision-making, stress management, etc.)

(e.g., a support network, mindfulness, exercise, meditation, etc.)

Section 3: Mindset & Mental Skills

(Scale of 1-10, with 1 being low and 10 being high)

(Please describe your approach and emotional response to setbacks.)

Section 4: Goals & Outcomes

(Be as specific as possible—this could be mental clarity, overcoming anxiety, improved focus, etc.)

(What would success look like for you?)

(e.g., presentations, big meetings, competitions, or creative outputs)

Section 5: Accountability & Support

(Are you open to feedback? How do you prefer it to be delivered?)

(Consider aspects like regular check-ins, clear action steps, motivational strategies, etc.)

Section 6: Final Reflection

Once you’ve completed this assessment, I’ll review it ahead of our first session. During our first session, we’ll explore your responses, prioritize key areas of focus, and start crafting your personalized approach to success.

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