| Athletic Information |
| Home Golf Course: | |
| Handicap: | |
| High School Golf Coach: | |
| Phone: | |
| Professional Instructor: | |
| Phone: | |
| Did Either Play Collegiate Golf? | |
| If So, Where? | |
| Do You Have a Video of Your Golf Swing? | NoYes |
| How Long Have You Played Golf (Years)? | |
| Who Else in Your Family Plays Golf? | |
| Totaling 100%... Fill in the Time You Spend in Each Area of Your Game |
| Putting: | |
| Chipping: | |
| Pitching: | |
| Bunker: | |
| Irons: | |
| Woods: | |
| How Many Days a Week Do You Practice? | |
| For How Long? | |
| What Are the Strengths in Your Golf Game? | |
| What Are the Weaknesses in Your Golf Game? | |
| What Other Sports Have You Played at the Varsity Level? | |