welcome to the
real man series

Earth strong questionnaire

We are looking for YOUR help in gaining more insight into what makes us tick. The ups and downs, our bodies, our energy levels, even our digestion!

Thank you for taking a few minutes to help us out!

 

– Coach Brix & the REAL Man Team

 

LISTEN TO OUR LATEST PODCAST WITH COACH BRIX BELOW

Name
In answering the following, please use the guidelines below to help us:

0 = Never Feel or Never Do
1 = Feel or Do 1-2 times per month
2 = Feel or Do Weekly
3 = Feel or Do Daily

FOCUSING ON YOUR HEAD / BRAIN

Dizziness(Required)
Meditate / Pray(Required)
Headaches / Migraines(Required)
Foggy Brain(Required)
Talk to Yourself(Required)

FOCUSING ON YOUR SINUSES

Stuffy Nose(Required)
Mucus(Required)
Allergies (Seasonal or Daily)(Required)

FOCUSING ON YOUR EARS

Itchy(Required)
Ringing (Tinnitus)(Required)
Hard of Hearing(Required)

FOCUSING ON THE MOUTH

Cold Sores(Required)
Dry When Waking Up(Required)
Dry Lips(Required)

FOCUSING ON SKIN

Itchy Skin(Required)
Rashes(Required)
Dry Skin(Required)

FOCUSING ON JOINTS / MUSCLES

Pain in Joints / Muscles(Required)
Discomfort(Required)
Swelling(Required)
Difficult to Move(Required)
Weakness(Required)

FOCUSING ON BREATHING

Shallow Breathing(Required)
Labored Breathing(Required)
Mouth Breather(Required)

FOCUSING ON YOUR MIND

Blanking Out(Required)
Easy To Forget Things(Required)
Stay In Your Comfort Zone(Required)
Think about God(Required)
Easily Distracted(Required)

FOCUSING ON EMOTIONS

Angry(Required)
Sad(Required)
Happy(Required)
Lost(Required)
Anxious(Required)
Nervous(Required)

FOCUSING ON DIGESTION

Bloated(Required)
Gassy(Required)
Feel Full All The Time(Required)
Hard to Swallow Certain Things(Required)

FOCUSING ON ENERGY

High / Positive(Required)
Low / Negative(Required)
No Drive(Required)

FOCUSING ON YOUR SPIRITUAL LIFE

Praying(Required)
Church / Other Service(Required)
Prayer Group(Required)
Talk Openly About God(Required)
Faith In All You Do(Required)

Coach Brix wants to help men become self-disciplined, stronger, more passionate, braver, courageous, respectful and become better leaders. A renowned speaker on the topic of “Game Speed” and sport enhancement training Coach Brix has helped thousands of athletes unleash their potential both physically and mentally. He has also coined the term “It is time to Eradicate your Softness”.

Coach Dave Brixius | Explosive Sports Performance

Coaches, as we work on our R.E.A.L. Man Series, we are looking to YOU for information to better assist our young men. As you may know, becoming R.E.A.L. is broken down into four main groups:

(R)ighteous
(E)mpathy
(A)wareness
(L)eadershipĀ 

If you could take a few minutes to fill out the questionnaire below, the team at EXSP would greatly appreciate it!

Name

Do you think leadership matters to help cultivate young men?
Do you think young men lack clarity in today's world?
Do you think as a society we are doing a good job cultivating young men to be R.E.A.L. Men?
Do you feel over the past 10 years there has been a decline in leadership among young men?
Coaches - Do you have a leadership program for your team?
Coaches - Do you have a mission for your team?
Coaches - Do you have goals for your team?

FOLLOW EXSP ON FACEBOOK AND INSTAGRAM FOR UPDATES.

 

THIS PROGRAM WILL BE OFFERED SOON!

LISTEN TO OUR LATEST PODCAST WITH COACH BRIX BELOW