Private Coaching Intake Form Name * First Name Last Name Email * Phone * (###) ### #### Golf Experience New Taken Lessons but never played on a regulation course Averages between 55-64 for nine holes on a regulation course. Averages between 45-54 for nine holes on a regulation course. Plays 18 holes with a score of 110 or better on a regulation course Plays 18 holes with a score of 95 or better on a regulation course. Plays 18 holes with a score of 85 or better on a regulation course. Right or Left Handed Right Left Not Sure Do you own a set of golf clubs? Yes. I've been custom fit for a set of clubs. Yes. I've purchased a set in the last 5 years. Yes. I've purchased a set more than 5 years ago. No. I do not own a set of clubs. Private or Group Coaching? Private Coaching Group Coaching No Preference Goals for the lesson / Goals for the future Have you had any golf instruction in the past? If so, what were your likes and dislikes? Any injuries or medical problems that I should be aware of? Other Info *
