Height:
How do you play golf?
Right-Handed
Left-Handed
How often do you play
golf?
Once
per week or less
2-3
times per week
4
times or more per week
Are you currently taking
golf lessons?
Yes
No
Do you plan on taking golf
lessons in the near future?
Yes
No
Do you practice?
Yes
No
What has been your
handicap range over the last 12 months?
Do you have any physical
limitations that affect your golf swing?
Yes
No
If yes, please expain:
Have you ever been custom
fit for golf clubs?
Yes
No
Current Equipment/Game:
Set Make-Up:
Driver (Brand/Model):
Fairway Woods
(Brand/Model):
Irons (Brand/Model):
Wedges (Brand/Model):
Putter (Brand/Model):
Ball (Brand/Model):
Please describe what you
LIKE or DISLIKE about your current equipment:
Which best describes
your current shot pattern with your DRIVER? (check ONE)
Hook
Pull
Draw
Straight
Fade
Push
Slice
Which best describes
your current shot pattern with your IRONS? (check ONE)
Hook
Pull
Draw
Straight
Fade
Push
Slice
Which best describes
your trajectory with your current DRIVER? (check ONE)
High
ball flight, little roll
Mid
ball flight, average roll
Low
ball flight, a lot of roll
Which best describes
your trajectory with your current IRONS? (check ONE)
High
ball flight, a lot of spin
High
ball flight, too much spin
Mid
ball flight, average spin
Low
ball flight, enough spin
Low
ball flight, not enough spin
Please describe what you
LIKE or DISLIKE about your current equipment: