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Please provide the following contact information:
Name
Street
City
State
Zip Code
Country
Work Phone
Home Phone
E-mail
Please provide the following information:
Age
Sex
Male Female
Height
Weight
Right or Left handed?
Any physical limitations?
Wrist (from the crease at the base of your hand with the palm tilted toward you) to ground length to the nearest 1/16".
Shoes on, hands at your sides, relaxed, standing erect without looking down:
Wrist (crease) to tip of middle finger length to nearest 1/16":
Length of middle finger from the base of the finger to the tip to nearest 1/16":
Handicap:
How long have you played golf?
How often do you play?
Driver swingspeed:
Average drive carry distance, no roll:
5-iron swingspeed:
Average 5-iron distance:
What club do you hit from 150 yards:
Swing tempo - fast, average (1.1 seconds from top of backswing to impact is aver), slow:
Do you make a complete 90 shoulder turn, 3/4 turn, or less than 3/4 turn on the backswing?
Trajectory - high, medium, low for both driver and irons: Driver
Irons
Predominant shot direction - hook, draw, pull, straight, push, fade, slice:
Have you ever been fitted for clubs? If so, what were the recommendations?
Have you taken lessons? If so, what were the recommendations:
What is your current driver - model, loft, face angle, and size?
What is the name of the driver shaft, length, flex and swingweight:
What is your current set make up - fairway woods, irons, and putter - model and lofts of woods, model and shaft length of 5 iron, and shaft flexes:
What do you want to change - trajectory, distance, accuracy, feel, backspin, or other:
Do you have any preferences for equipment you have tried and liked or disliked? If so, provide as much specific info as possible.
What are you interested in - driver, fairway woods, irons, re-shaft, repair, grips, headcovers, etc?
