Your name:
Email Address:
Street Address:
City, ST, Zip Code:
Daytime Phone:
Gender:
Male
Female
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):
Driver Shaft:
Steel
Graphite
L
A
R
S
X
Driver Length:
Standard Over
Length
inches Under
Length
inches
Fairway Woods
(Brand/Model):
Fairway Woods Shaft:
Steel
Graphite
L
A
R
S
X
Fairway Woods Length:
Standard Over
Length
inches Under
Length
inches
Irons (Brand/Model):
Irons Shaft:
Steel
Graphite
L
A
R
S
X
Irons Lie Angle:
Standard Flat
degrees Upright
degrees
Irons Length:
Standard Over
Length
inches Under
Length
inches
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
Which of the ball
flights listed is EASIEST for you to hit? (check ONE)
Hook
Draw Straight
Fade
Slice
Which of the ball
flights listed would you PREFER to hit? (check ONE)
Hook
Draw Straight
Fade
Slice
Which best describes
your typical contact point on the clubface of iron shots?
Solid
Toe Heel
Which best describes
your typical ball/turf contact with iron shots?
Solid
Fat Thin
Equipment Preferences
Please check your
personal preferences for a DRIVER:
Graphite
Shaft
Steel
Shaft
Heavy
Feel
Light
Feel
Fade
Draw
Stiff
Feel
Flexible
Feel
High
Trajectory
Low
Trajectory
Large
Grip
Small
Grip
Please check your
personal preferences for a IRONS:
Graphite
Shaft
Steel
Shaft
Heavy
Feel
Light
Feel
Fade
Draw
Stiff
Feel
Flexible
Feel
High
Trajectory
Low
Trajectory
Large
Grip
Small
Grip
Please choose the
response that you feel is MOST important:
Shaft
Clubhead
Performance
Appearance
Performance
Feel
Feel
Appearance
Which is most important
to you? (check ONE)
Distance
Direction
