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Your name: |
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Email Address: |
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Street Address: |
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City, ST, Zip Code: |
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Daytime Phone: |
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Gender: |
Male
Female |
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Height: |
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How do you play golf? |
Right-Handed
Left-Handed
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How often do you play
golf? |
Once
per week or less
2-3
times per week
4
times or more per week
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Are you currently taking
golf lessons?
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Yes
No
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Do you plan on taking golf
lessons in the near future?
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Yes
No
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Do you practice? |
Yes
No
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What has been your
handicap range over the last 12 months?
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Do you have any physical
limitations that affect your golf swing?
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Yes
No
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If yes, please expain: |
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Have you ever been custom
fit for golf clubs?
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Yes
No
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Current Equipment/Game
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Set Make-Up: |
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Driver (Brand/Model):
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Driver Shaft:
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Steel
Graphite
Flex:
L
A
R
S
X
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Driver Length:
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Standard
Over
Length
inches
Under
Length
inches
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Fairway Woods
(Brand/Model): |
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Fairway Woods Shaft:
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Steel
Graphite
Flex:
L
A
R
S
X
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Fairway Woods Length:
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Standard
Over
Length
inches
Under
Length
inches
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Irons (Brand/Model): |
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Irons Shaft:
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Steel
Graphite
Flex:
L
A
R
S
X
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Irons Lie Angle:
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Standard
Flat
degrees
Upright
degrees
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Irons Length:
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Standard
Over
Length
inches
Under
Length
inches
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Wedges (Brand/Model):
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Putter (Brand/Model):
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Ball (Brand/Model):
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Please describe what you
LIKE or DISLIKE about your current equipment:
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Which best describes
your current shot pattern with your DRIVER? (check ONE) |
Hook
Pull
Draw
Straight
Fade
Push
Slice
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Which best describes
your current shot pattern with your IRONS? (check ONE) |
Hook
Pull
Draw
Straight
Fade
Push
Slice
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Which best describes
your trajectory with your current DRIVER? (check ONE) |
High
ball flight, little roll
Mid
ball flight, average roll
Low
ball flight, a lot of roll
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Which best describes
your trajectory with your current IRONS? (check ONE) |
High
ball flight, a lot of spin
High
ball flight, too much spin
Mid
ball flight, average spin
Low
ball flight, enough spin
Low
ball flight, not enough spin
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Which of the ball
flights listed is EASIEST for you to hit? (check ONE) |
Hook
Draw
Straight
Fade
Slice
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Which of the ball
flights listed would you PREFER to hit? (check ONE) |
Hook
Draw
Straight
Fade
Slice
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Which best describes
your typical contact point on the clubface of iron shots? |
Solid
Toe
Heel
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Which best describes
your typical ball/turf contact with iron shots? |
Solid
Fat
Thin
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Equipment
Preferences
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Please check your
personal preferences for a DRIVER: |
Graphite
Shaft
or
Steel
Shaft
Heavy
Feel
or
Light
Feel
Fade
or
Draw
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Stiff
Feel
or
Flexible
Feel
High
Trajectory
or
Low
Trajectory
Large
Grip
or
Small
Grip |
Please check your
personal preferences for a IRONS: |
Graphite
Shaft
or
Steel
Shaft
Heavy
Feel
or
Light
Feel
Fade
or
Draw
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Stiff
Feel
or
Flexible
Feel
High
Trajectory
or
Low
Trajectory
Large
Grip
or
Small
Grip |
Please choose the
response that you feel is MOST important: |
Shaft
or
Clubhead
Performance
or
Appearance
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Performance
or
Feel
Feel
or
Appearance |
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Which is most important
to you? (check ONE) |
Distance
Direction
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