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New Client Interview

Please fill in the form below so I can begin guiding you to the best game of your life! Be certain to complete form and then click the “Submit” button…thanks!

New Client Interview

Name *
Date (MM/DD/YY) *
E-mail *
Phone *
Street Address
City
State
Zip
Occupation/Hobbies *
Right-Handed
Left-Handed
Current Hdcp
Hdcp. Goal
How long have you played golf?
How many days per week do you play golf?
How many days per week do you practice golf?
What injuries/pains do you have that affect your golf game?
What is your current ball flight pattern with your Driver?
What ball flight pattern would you like with your Driver?
What is your present ball flight pattern with your irons?
What ball flight pattern would you like with your irons?
What is your best club?
What is your worst club?
Describe what you think are the major problems in your golf game *
Tell me what you have tried to fix these problems *
What is the best part of your game? *
Tell me about your most recent lessons/golf schools you have attended *
What other sports have you played? *
What is your goal for this lesson/series of lessons? *

Please check all topics below that interest you most *

  Ball Striking
  Partial Wedges
  Pitching
  Chipping
  Putting
  Bunker Play
  On-Course Management
  Mental Game
  Practice Schedule/Routine
  Consistency
  Scoring
  Play Competetively

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