CoHEIR Athlete Intake Profile — Mental Performance Assessment

The CoHEIR Code™ Mental Performance Assessment

ATHLETE
INTAKE
PROFILE

Five sections. Twenty minutes. The most honest conversation you'll have about your mental game.

Who you are as a person — before we talk about your sport

Your athletic background and what has shaped you

18 mental performance questions across 6 pillars

How you handle adversity, injury, and pressure

Your goals and what success looks like to you

Confidential · Reviewed personally by Coach Ronald · ~20 minutes

Section 01 of 05

WHO YOU ARE

Identity · Values · Beliefs — Before we look at your sport, we look at you.

Question 1

3 words that describe you — not as an athlete, but as a person.

Think beyond your sport. Who are you at home, with your family, with your friends?

Question 2

Who has had the biggest influence on your athletic journey — and what did they teach you?

Question 3

What does your sport mean to you beyond winning and losing?

Question 4

If you woke up tomorrow and could never play your sport again — who would you be?

One of the most important questions in this profile. Be honest.

Question 5

Do you have a faith or belief system that plays a role in how you compete?

No right or wrong answer. This is about you.

Section 02 of 05

ATHLETIC BACKGROUND

Sport History · Experience · Milestones

Sport & Level

What sport(s) do you play and what position?

Current Level

What level are you competing at?

Recreational

Middle School

High School

Travel / Club

College

Professional

Question 6

What has been your proudest moment as an athlete?

Question 7

What has been the hardest moment in your athletic career?

Question 8

Have you dealt with a significant injury? Describe how it affected you mentally — not physically.

If no major injury, describe a time you had to push through real adversity.

Section 03 of 05

THE MENTAL GAME

Rate each: 0 = Never · 1 = Sometimes · 2 = Often · 3 = Almost Always

COPING WITH ADVERSITY

After making a mistake, I recover quickly and move on

0

Never

1

Sometimes

2

Often

3

Almost Always

When things go wrong, I stay positive and focused

0

Never

1

Sometimes

2

Often

3

Almost Always

I control my emotions when frustrated or angry in a game

0

Never

1

Sometimes

2

Often

3

Almost Always

PERFORMING UNDER PRESSURE

I perform better when the pressure is highest

0

Never

1

Sometimes

2

Often

3

Almost Always

I welcome big moments — I do not avoid them

0

Never

1

Sometimes

2

Often

3

Almost Always

My confidence is consistent regardless of recent results

0

Never

1

Sometimes

2

Often

3

Almost Always

MENTAL PREPARATION

I have a consistent mental routine before competition

0

Never

1

Sometimes

2

Often

3

Almost Always

I prepare mentally the same way I prepare physically

0

Never

1

Sometimes

2

Often

3

Almost Always

I know what I need mentally to be ready on game day

0

Never

1

Sometimes

2

Often

3

Almost Always

CONCENTRATION AND FOCUS

I block out distractions during competition

0

Never

1

Sometimes

2

Often

3

Almost Always

After a mistake, I let it go and stay on the next play

0

Never

1

Sometimes

2

Often

3

Almost Always

I am mentally present from the first minute to the last

0

Never

1

Sometimes

2

Often

3

Almost Always

IDENTITY AND CONFIDENCE

My confidence comes from who I am, not how I last performed

0

Never

1

Sometimes

2

Often

3

Almost Always

A bad game does not change how I feel about myself

0

Never

1

Sometimes

2

Often

3

Almost Always

I know who I am when the sport is not going my way

0

Never

1

Sometimes

2

Often

3

Almost Always

COACHABILITY AND GROWTH

I receive feedback without becoming defensive

0

Never

1

Sometimes

2

Often

3

Almost Always

I make changes even when they are uncomfortable

0

Never

1

Sometimes

2

Often

3

Almost Always

I ask for help when I need it

0

Never

1

Sometimes

2

Often

3

Almost Always

Section 04 of 05

ADVERSITY & INJURY

Resilience · Recovery · Response — Where the deepest work begins.

Question 9

Describe the most difficult season or period in your athletic career.

Question 10

How do you respond when you lose your starting spot or are taken out of the lineup?

Question 11

When injured or sidelined — what was hardest about it mentally?

Question 12

What does failure mean to you?

Question 13

How much of your self-worth is tied to how you perform? (1–10)

1

2

3

4

5

6

7

8

9

10

Not at allCompletely

Question 14

What do you want people to say about you when your athletic career is over?

Section 05 of 05

WHAT YOU WANT

Goals · Vision · Readiness — The clearer you are, the better the work.

Question 15

What is the #1 thing you want to improve mentally?

Question 16

What does success in this coaching program look like for you?

Question 17

Anything you want your coach to know before your first session?

Question 18

How ready are you to do the inside work? (1–10)

1

2

3

4

5

6

7

8

9

10

Not readyCompletely ready

GET YOUR
RESULTS

Your coach reviews every answer personally. Enter your info and we'll generate your mental performance breakdown.

Mental Score

??

Growth Areas

??

Overall /10

??

Your Name

Email Address

Phone (Optional)

Parent / Guardian (if under 18)

Confidential · Reviewed only by Coach Ronald

🔱

        
        Profile Received

THE WORK
WITHIN
STARTS HERE.

Completing this profile took honesty — and that is the first rep. The work you just did matters more than most athletes realize.

A message from Coach Ronald

I have received your complete profile and I will review every answer personally before we connect. Not a summary. Not a score. Every word.

What you shared here tells me far more than any statistic could. The goal is not to grade you — it is to understand you, so that when we sit down together, we can get to work on what actually matters.

Expect to hear from me shortly. The inside work is where everything begins.

          — Coach Ronald Peña · CoHEIR Performance Coaching
        

What Happens Next

1

Profile Review

Coach Ronald reviews your complete profile — your answers, your story, and what you shared about where you are right now.

2

Personal Outreach

You will hear from Coach Ronald directly — a personal conversation about what you shared and what the right next step looks like for you.

3

The Work Begins

A personalized coaching plan built entirely around your answers, your goals, and where you need to grow. Built for you — not a template.

Have a question in the meantime?

coach@coheirperformance.com

Built from the inside out. · @coheirperformance