Prospective Client Questionnaire

Submitting this questionnaire is not a commitment of any kind.  We will contact you to answer any of your questions, discuss your needs, and schedule a meeting if desired.

Please provide the following information:

First Name*
Last Name*
Email*
Street Address
Address (cont.)
City
State/Province
Zip
Country
Home Phone
Cell Phone
Height
Weight
Date of Birth
Parent's Names
Parent's Cell
Parent's Email
Play	Right-handed Left-handed
Backhand	One-handed Two-handed
Hours played per week during school year
Name and location of High School
Date of High School Graduation

	Age Group USTA Section Rank USTA National Rank
2009 Rankings
2010 Rankings
2011 Rankings
Current Rankings

Player Evaluation: style of play, strengths & weaknesses
List all academic information, including GPA, PSAT, SAT and ACT scores (if taken at this time) along with any other relevant academic info
Have you ever worked with a tutor? If so, in what subject(s)?
List your preferred area(s) of study, if known
What are your tennis goals and aspirations?
Do you do off-court conditioning? If so, what and how often?
Have you ever worked with a sports psychologist?	Yes No
Colleges you are considering, if known
Is there a region of the country where you would prefer to attend college?
Do you have a preference for the size of the school?
Do you or have you played other sports competitively?
Do you participate in extracurricular activities?
List the name and phone number of your personal coach
Do you plan to do SAT or ACT test prep?	Yes-take class Yes-private tutor Yes-study on my own No Don't know yet
Is obtaining a scholarship a top priority?	Yes No
How did you hear about us?*	received mailing word of mouth (from friend, coaches, etc.) saw advertisement internet search other
If other, please elaborate