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STUDENT PROFILE QUESTIONNAIRE
Date
Date Format: MM slash DD slash YYYY
Name
First
Last
Age
Sex
Male
Female
Address
Street Address
City
State
ZIP
Cell Phone
Office Phone
Email
Number of Years Played
Range of Score/Handicap
Lowest Score
How Often Do You Play
How Often Do You Practice
Previous Lessons
What Part Of Your Game Are You Working On
Game Strengths
Game Weakness
Golf Ball Flight Tendencies
Describe Your Divot Pattern
Physical Limitations
Any Pains When You Swing
Club Face Contact More On
Toe
Heel
Short Term Goals
Please include the best time to reach you to discuss?
Long Term Goals
Please include the best time to reach you to discuss?
What brought you to me for a lesson.
Download Printable Student Profile Questionnaire
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Newport Beach Golf Course
Newport Beach Golf Course