New Client Assessment
Personal Information
Email address *
Cannot pre-fill email address.
Name *
Address *
Phone *
Email- *
Handicap/Index or Avg Score - no idea *
Right or Left Handed *
Do you play right or left handed? *
Was your equipment fit for you? *
How long have you been playing golf? *
List any previous instruction *
How often do you play? *
How much time are you willing to dedicate a week to practice or playing? *
What do you like about practicing? *
Short - Term Goals *
Long - Term Goals *
List three things about you when you play your best golf. *
What would you like to accomplish through golf coaching? *
Why do you play the game of golf? *
What about golf brings you the most enjoyment? *
List and describe any physical limitations? *
Other sports you play past or present *
Other hobbies? *
Any additional information that you would like to share with us? *
How did you hear about ExperienceGolf / Elena King and the staff? *
Email address *
Cannot pre-fill email address.
Skill Rating
Short Putts *
Distance Control *
Chipping *
Pitching *
Greenside Bunker *
Wedges 1/2 and 3/4 swings *
Short irons *
Mid Irons *
Long Irons and Hybrids *
Fairway Woods *
Driver *
Flexibility *
Overall physical condition *
Email address *
Cannot pre-fill email address.
Self Management on course
Muscle tension *
Get angry with self or others *
Difficulty playing under pressure *
Easily frustrated *
Easily distracted *
Nervous on the first tee *
Nervous playing in front of others *
Tempo gets quick *
Blow up holes *
Lack confidence
Lack a decision and commitment *
Think too much *
Difficulty letting go of bad shots or holes *
Negative Self-talk *
Fatigue *
Lack of enjoyment of the game *
Afraid of making mistakes *
Afraid of disappointing others *
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