Player Profile

Name

First Last

Street Address*

City*

State*

Zip Code

Email*

Cell Phone #*

Birthdate*

Occupation*

The following questions provide a snap shot of the golfer you are as well as who you are as a person. Please provide any information you think will assist me to tailor your instruction experience.

Why Do You Play Golf?*

What are your Improvement Goals and Priorities?

Tell me about your Full Swing Strengths and Weaknesses.

Tell me about your Short Game Strengths and Weaknesses

Tell me about your Practice Habits (When, What, How Often, Etc.).

Tell me about your Playing Habits (How Often, Where, With Whom, etc.)

Are you Right-Handed or Left-Handed?*

Right-Handed
Left-Handed

What is Your Handicap or Average Score?*

Do you have any injuries or impairments I need to know about?*

Skills Assessment

To the best of your ability, please assess your skills using the choices provided. Should you need to provide any additional information, please do so within the fields above.

When you hit a golf shot well, do your shots fly:*

On average, how would you classify the flight trajectory of your good shots?*

When you "miss hit" a shot, where do your misses typically end up?*

When faced with a long shot to a green, would you rather:*

When faced with a shot from the Fairway to a Green, do you (check all that apply)

Play aggresively to the Flag no matter where it may be?
Play to the Middle of the Green?
Hit a Conservative Shot that Provides a Large Margin for Error?

When faced with a short shot from just off the Green, do you:*

Putt?
Use a Lofted Club to Chip the Ball?
Use a More Lofted Club to Pitch the Ball?

When hitting a short game shot, your shots typically end up:*

Short of Your Target?
Long of Your Target?
Right of Your Target?
Left of Your Target?
On Target?

When you miss an approach shot to a green, your shots typically end up (can choose more than one answer):*

Short of the Green
Over the Green
Left of the Green
Right of the Green

What do You Believe is the Strength of Your Putting (Check All that Apply)?

Distance Control
Accuracy
Green Reading

My Putts typically end up ______ of the Hole (Check All that Apply):

Left
Right
Short
Long

Statistics - Do you keep statitics of your rounds? If so, please share your statistics.

At the end of your Golf School or Coaching Sessions, the one most important goal you want to accomplish is:*

Player Profile

Player Profile

The following questions provide a snap shot of the golfer you are as well as who you are as a person. Please provide any information you think will assist me to tailor your instruction experience.

Skills Assessment

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