Please provide the following contact information:
 

Name: 

The Quick & Easiest Phone:

E-mail:

How long have you been playing golf?

  Please select one Just started 1 year 2 years 3 years 4 years 5 years 6-10 years 11-15 years Over 16 years

What do you score now in 18 Holes?

  Please select one Don't know Over 110 100 - 110 95 - 100 90-95 85-90 80-85 75-80 70-75 Under par

What do you want to score in 18 Holes?

  Please select one Over 110 100-110 95-100 90-95 85-90 80-85 75-80 70-75 Under par

By when, do you want to accomplish these scores in 18 holes?

  Please select one In 1 week In 1 month In 6 months In 1 year In 2 years In 5 years

Have you taken professional golf lessons before?

  Please select one Never Once 2-5 times 6-10 times Many times

Have you ever seen your swing on video?

  Please select one Yes No

What is your height?

  Please select one under 5' between 5'1" and 5'4" between 5'5" and 5'11" above 6'

Are your clubs fitted for you?

  Please select one Yes No Don't have any

How many times will you play 18 holes this year?

  Please select one 1 - 5 times (rounds) 5 - 10 rounds 10-15 rounds 15-20 rounds 20-30 rounds 30-40 rounds 40-50 rounds Over 50 rounds

How often will you practice?

  Please select one Never Once per week Twice per week Three times per week Once a month

When is the best time to call you about this assessment?

     Please select one Anytime Mornings Afternoons Evenings

Thank you for answering these questions. The rest of the assessment will be done verbally by phone or at the first lesson.