FTK Profile — Intake Form

Please complete the information below. The information provided will be used solely for the preparation of your personalized FTK Profile

Name

First

Last

Date of Birth

Use format: Day.Month.Year

Birth Time

Example: 06:50 PM - give an approximate time if unknown.

Birth Location

City, State/Region, Country

Primary Performance Environment

Current Focus

What area of performance would you most like to understand?

Known Concerns

Are there any recurring challenges, frustrations, or behavioral patterns you would like examined?

Current Role

Describe your current role, profession, or primary activity.

Concerns Birth Concerns

Performance Challenges

What recurring performance challenges concern you most?

Decision-Making Concerns

What aspects of your decision-making would you most like examined?

Pressure Response

How do you typically respond when under pressure?

Additional Context

Provide any additional information you believe may be relevant.

Privacy Notice: Information provided through this form is treated as confidential and is used solely for the preparation and delivery of your FTK assessment. Your information will not be shared, sold, or disclosed to third parties.