Golf Lesson Request Form

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Please complete the following questionnaire to effectively and efficiently offer and

schedule your First appointment with us!

First Name

Email

Last Name

Phone

1. How Long Have you been Playing Golf?

2. # of times per week you practice golf?

3. # of times per week you play 9 or 18 holes?

4. Interested in Private Lessons?

Yes

No

5. What is your Short Term Goals?

6. What is your Long Term Goals?

7. Strength of Your Golf Game

8. Weakness of Your Golf Game

9. Current Clubs Custom Fitted?

10. Your home golf Club

11. Your Preferred Days for your Lessons: * Required

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

12. Your Preferred Times:

10 am- 2 pm

2 pm - 6 pm

6 pm- 10 pm

13. # of Times per Month Requesting Lessons:

14. Sports played up until now:

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