ZEN GOLF PRE- LESSON QUESTIONNAIRE
In order to make the most of your limited time with Dr. Parent, we would appreciate your taking the time to tell us about your golf game, and what you are looking forward to working on in your lesson.
Your name *
Your answer
Email Address *
Your answer
Phone number *
(also cell phone, please)
Your answer
How old are you, and how long have you been playing golf? *
Your answer
What is your handicap? *
(or, a score that you would shoot on a good day)
Your answer
Please tell us about instruction you have received: *
Private Instructors, Golf Schools, other!
Your answer
Are you a member of a Golf Club or do you play on a school team? *
Your answer
Have you read (or listened to) ZEN GOLF, ZEN PUTTING or GOLF: The Art of the Mental Game? *
Required
If so, list two or three things that really connected for you:
Your answer
Please list two or three things that you'd like clarified or explained more:
Your answer
What type of Golf do you play? *
Required
What are the strengths of your game? *
Your answer
What parts of your game would you like to improve? *
Your answer
Do you have a specific goal or goals in working with Dr. Parent? *
(please list them all)
Your answer
What is your occupation/profession? *
Your answer
What other sports do you play? Hobbies, other interests?
Your answer
Skype/Facetime info
Your answer
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