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QUESTIONNAIRE

Name:	Age:	YRS	Shot	L	R	Position	W		X	C	X
Team Last Played:		Coach:						Hgt	ft/in	Wt	lbs

Defense - Defensive Defenseman
1	What would you say that your average hits/contacts per game are	Less than 10		X		More than 10		X
2	Do you take penalties more often than opposition players off your hits	I take more		X		I cause more		X
3	Do you prefer to make hits in the defensive zone on your natural side or off-wing side (i.e. right hand/right side)	Forehand Side		X		Off Wing Side		X
4	Which is your most effective hitting style	When angling		X		In open ice		X
5	Do you win most of your battles down low	Always	X	Often	X	Average	X	Seldom	X
6	How would you rate your ability to "pin" a player on the wall	Excell.	X	Very Good	X	Average	X	Fair	X
7	How would you rate your ability to freeze the puck on the wall	Excell.	X	Very Good	X	Average	X	Fair	X
8	Do you block passing lanes with your body/stick	Always	X	Often	X	Average	X	Seldom	X
9	Do you win most of your slot battles	Always	X	Often	X	Average	X	Seldom	X
10	Do you tie up your man on face-offs	Always	X	Often	X	Average	X	Seldom	X
11	Are you comfortable protecting the puck under pressure	Always	X	Often	X	Average	X	Seldom	X
12	Would you say that you move the puck quickly on forced turn-overs and rebounds			Yes	X	Average	X	No	X
13	How do you rank your one on one skill in the defensive zone	Excell.	X	V GD	X	Average	X	Fair	X
14	How would you rate your ability to maintain defensive side positioning	Excell.	X	V GD	X	Average	X	Okay	X
15	Do you get the puck out off the glass on your forehand side	Always	X	Often	X	Average	X	Seldom	X
16	Do you get the puck out off the glass on your backhand side	Always	X	Often	X	Average	X	Seldom	X
17	Do you work hard at screening off for partner on dumpins	Always	X	Often	X	Average	X	Seldom	X
18	When your partner has the puck do you provide an outlet for him (unless under high pressure)	Always	X	Often	X	Average	X	Seldom	X
19	Do you clear rebounds to the corner when unsure	Always	X	Often	X	Average	X	Seldom	X
20	Can you find open man when under pressure in the defensive zone	Always	X	Often	X	Average	X	Seldom	X
21	Do you use your stick to keep opposition player off balance	Always	X	Often	X	Average	X	Seldom	X
22	Do you play on the power play	Always	X	Often	X	Average	X	Seldom	X
23	Do you play on the PK	Always	X	Often	X	Average	X	Seldom	X
24	How do you rate your ability to play one on ones against top players (defensive zone)	Always win	X	Often win	X	Average	X	Seldom win	X
25	How do you rate your ability to play one on ones against top players in open ice (off the rush)	Always	X	Often	X	Average	X	Seldom	X
26	How do you rate your ability to play odd man situations (2/1s, 3/2s)	Excell.	X	V GD	X	Average	X	Okay	X
27	Do you like pressure situations (team is down, opposition can not score)	Always	X	Often	X	Average	X	Seldom	X
28	How successful are you at making the first pass out of the zone.	Always	X	Often	X	Average	X	Seldom	X
29	How successful are you at making tape to tape passes on your backhand.	Always	X	Often	X	Average	X	Seldom	X
	How do you rate your pivoting ability	Excell.	X	V GD	X	Average	X	Okay	X
	How do you rate your man on man play in the defensive zone	Excell.	X	V GD	X	Average	X	Okay	X
	How do you rate your territorial play in the defensive zone	Excell.	X	V GD	X	Average	X	Okay	X
	How would you rate your gap control	Excell.	X	V GD	X	Average	X	Okay	X
30	Do you communicate well with your partner/forward in your own zone			A lot	X	Average	X	Not	X
31	What would you say are your best alternate skills (skating)		Speed		X	Quickness	X	Turns	X
32	What would you say are your best alternate skills (shooting)		Quick Release		X	Accuracy	X	Power	X
33	What would you say are your best alternate skills (stickhandling)		Protecting puck		X	Deking	X	Control	X
34	How many times a week do you train in the Gym	6	X	5	X	4	X	3	X
35	What are your average penalty minutes per season					less than 200	X	200+	X
31	What other parts of the game do you like the most					write in here please
32	In choosing, which suits you best: I "love to win" or "I hate to lose"					Win	X	Lose	X
33	What would you like to get out of this camp: