Email Address: *this is a required field for our server to eliminate spams.

CONTACT INFORMATION:

Your First & Last name:

Community & Province:

PHYSICAL INFORMATION: (Approximations are okay)

Height: Weight: Age:

Sex:       Male:    Female:       Right-handed:    Left-handed:

GENERAL INFORMATION:

Years Played: Rounds each year:
Average 18 hold score:

Current handicap:
Is your score going UP or DOWN or STABLE?

The course I usually play at is?

I have taken swing lessons in the past? Yes:     No:

I plan to take swing lessons this year.   Yes:     No:

I work with practice sessions: Often:  Occasionally:  Never:   

PHYSICAL LIMITATIONS:

I experience pain when I swing a golf club: Yes:     No:

I have to restrict my swing: Yes:     No:

I have problems holding a golf club: Yes:     No:

I have other physical limitations that effect my swing: Yes:   No:
COMMENTS:
           

PLAYING CHARACTERISTICS:

When I hit shots with various clubs, the ball tends to travel in this manner: (Mark the most common descriptions):

With my Driver, the ball tends to ...
Slice
Fade
Push
Straight
Pull
Draw
Hook
High
Average
Low

With my # 5 Wood the ball tends to...
Slice
Fade
Push
Straight
Pull
Draw
Hook
High
Average
Low

With my # 3 Iron the ball tends to...
Slice
Fade
Push
Straight
Pull
Draw
Hook
High
Average
Low

With my # 5 Iron the ball tends to ...
Slice
Fade
Push
Straight
Pull
Draw
Hook
High
Average
Low

With my P.W. the ball tends to ...
Slice
Fade
Push
Straight
Pull
Draw
Hook
High
Average
Low

PLAYING GOALS NEW CLUBS SHOULD ADDRESS:

I want to.... (check those that apply)

Hit shots higher
Hit shots Farther
Stop slicing shots
Stop hooking shots
Quit topping shots
Quit hitting thin shots
Have better club-head feel
Improve my chipping
Hit shots lower
Hit shots straighter
Stop pushing shots
Stop pulling shots
Quit skying shots
Quit hitting fat shots
Hit shots more solidly
Improve my sand play

In order of priorities, I want my clubs to.... (number with 1 being the most important)

Give me extra distance
Feel solid at impact
Provide better accuracy
Improve my short game scoring
Be of high quality materials
Provide better feel
Be light weight
Overcome my swing flaws
Include a properly fitted putter
Have a very strong warranty

The one thing I really want, more than anything else is.... (choose only one)

More accuracy
Higher trajectory
Lower trajectory
Better feel
More distance
Brand name Clubs

Extra Improvement goals:
COMMENTS:

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