The USA Blind Soccer Men's National Team Coaches have put together a scouting tool to help identify talented blind soccer players across the country. Once this athlete survey is completed, USA Blind Soccer will send the benchmark test guidelines to you, via email, as well as the dropbox location to place your training videos as requested. If you have any questions about this assessment please reach out to MNT Head Coach, Katie Smith ksmith@usaba.org. 

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* 1. First Name

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* 2. Last Name

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* 3. Email Address

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* 4. Phone Number

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* 5. City/State

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* 6. Date of Birth

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* 7. Nationality

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* 8. Current Age

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* 9. Gender

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* 10. How did you acquire your visual impairment?

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* 11. Explain your visual impairment diagnosis

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* 12. If you have been classified by IBSA in another sport, please let us know your classification.

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* 13. Tell us about your experience playing soccer.

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* 14. How did you hear about blind soccer?

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* 15. How many years have you been playing blind soccer?

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* 16. Are you playing soccer with a club? If so, tell us the name of the club

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* 17. What is the name of your soccer coach? (if you do not have a coach please write "n/a")

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* 18. If you play other adaptive sports please list them below.

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* 19. What are your goals for playing soccer this year?

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