Victory Mindset — Tennis Player Intake Form

01 — About You

First name *

Last name *

Email address *

Phone number *

How did you find out about Nikkie Consulting? *

02 — Your Tennis Background

How many years have you been playing tennis?

What is your current USTA rating (or estimated level)?

How do you primarily play?

Recreational / social tennis Club league or ladder USTA league or rated competition Local or regional tournaments Doubles primarily Singles primarily

Where do you currently play? Club, high school, college, or league — whichever applies

How many times per week do you currently play or train?

How often do you work with a tennis coach or instructor?

03 — Your Mindset During Matches

This is the heart of our work together. Be honest — this is where we find what to focus on.

On a scale of 1–10, how would you rate your mental game right now? 1 = my mindset is my biggest obstacle · 10 = I feel mentally strong and consistent

On a scale of 1–10, how confident do you feel during matches? 1 = I frequently doubt myself · 10 = I back myself even in tough moments

On a scale of 1–10, how nervous do you typically feel right before a match starts? 1 = very nervous / on edge · 10 = calm and settled

On a scale of 1–10, how energetic do you typically feel during a match? 1 = flat / drained · 10 = energized and sharp throughout

Which of these do you recognize in yourself during matches? Check all that apply

Describe a recent match or moment on court where your mindset cost you.

What does your self-talk look like when things go wrong on court?

What does playing your best tennis feel like?

04 — Goals for Coaching

What is the main reason you decided to reach out now?

What would you most like to work on? Rank your top 3 if you can

What does success look like for you — over the next couple of months?

Is there anything else you want me to know before we begin?

05 — Experience & Readiness

Have you worked with a sports psychologist, mental performance coach, or mindset coach before?

No, this is my first time I've done self-directed work (books, podcasts, apps) Sports psychologist Mental performance coach Mindset / life coach Other

On a scale of 1–10, how committed are you to doing the work — both on and off court? 1 = I'm exploring this · 10 = I'm fully committed and ready to invest time and effort

Do you have an upcoming event, tournament, or season you're preparing for?

What format and location work best for you?