Golf Club Fitting

Welcome to Leitz Golf. Please complete the form to the best of your ability. We look forward to seeing you in the studio!!

Full Name

First NameLast Name

Phone Number

Area CodePhone Number

Email

example@example.com

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Handicap

Rows	Plus	0-5	6-10	11-15	16-20	21-25	26-30
Current
Lowest

Rounds per month

Rows	< 1	1-2	3-5	6-10	10+
Rounds

Have you been physically screened for golf?

Golf Swing?

Workouts per week

Rows	0	1	2	3	4+
Workouts

Pain points in golf swing

Rows	None	Left	Right
Foot
Knee
Hip
Shoulder
Elbow
Wrist
Hand

Rows	Lower	Mid	Upper
Back Pain

Rows	None	Yes
Neck Pain

Lesson committment

Do you use a rangefinder?

Lowest number iron hit with confidence

Rows	1	2	3	4	5	6	7	8	9	PW
Iron

How far do you hit your 7 iron?

Yards

Driver ball flight problems

Rows	Top	Slice	Hook	Push	Pull	Fat	Thin	Sky Shot
Driver

Driver impact point on face

Rows	Low toe	Mid toe	High toe	Low center	Mid center	High center	Low heel	Mid heel	High heel	Scattered toe	Scattered center	Scattered heel
Driver

Driver ball flight preference

Rows	Fade	Straight	Draw
Driver

Driver ball flight trajectory

Rows	Too low	Good	Too high
Driver

Iron solidness problems

Rows	Top	Fat	Thin	Shank	Off center
Irons

Iron impact point on face

Rows	Low toe	Mid toe	High toe	Low center	Mid center	High center	Low heel	Mid heel	High heel	Scattered toe	Scattered center	Scattered heel
Irons

Iron ball flight preference

Rows	Fade	Straight	Draw
Irons

Iron ball flight trajectory

Rows	Too low	Good	Too high
Irons

Putting problems

Rows	Reading putts	Miss short	Miss long	Miss left	Miss right	Unsolid impact
Putter

Clubs to fit

Rows	Driver	Fairway woods	Hybrids	Irons	Wedges	Putter
Clubs

Top two brands for woods

Top two brands for irons

Present iron shaft material

Rows	None	Light graphite	Standard graphite	Light steel	Standard steel
Irons

Preferred iron shaft material

Rows	None	Light graphite	Standard graphite	Light steel	Standard steel
Irons

Preferred iron head style

Rows	None	Forged Blade	Cast Blade	Cast with some perim. weighting	Cast with extreme perim. weighting
Irons

Preferred offset

Rows	No preference	No offset	Slight offset	Max offset
Irons

Current set makeup

Rows	Driver	3wood	5wood	7wood	9wood	2Hybrid	3Hybrid	4Hybrid	5Hybrid	6Hybrid	7Hybrid	1iron	2iron	3iron	4iron	5iron	6iron	7iron	8iron	9iron	Pitching Wedge
Set makeup

Do you hit your 3wood more off the tee or off the ground during a round?

Current wedge lofts - pitching wedge + down

Rows	44	45	46	47	48	49	50	51	52	53	54	55	56	57	58	59	60
Wedges

Wedge miss from fairway

Rows	OK	Fat	Thin
Wedges

Wedge miss from bunker

Rows	OK	Fat	Thin
Wedges

Glove size

Rows	Ladies SM	Ladies M	Ladies L	Mens SM	Mens M	Mens ML	Mens L	Mens XL	Mens XXL	Mens Cadet SM	Mens Cadet M	Mens Cadet ML	Mens Cadet L	Mens Cadet XL
Glove

Height in inches

Wrist to floor measurement (inches)

Hand length from wrist to longest digit

Rows	6	6.5	7	7.5	8	8.5	9
Hand

Preferred grip material

Rows	None	Rubber	Full cord	1/2 Cord	Winn/Dri Tac
Grip

Grip size preferred

Rows	None	Slightly Undersize	Standard Size	Slightly Oversize	Mid Size	Jumbo
Grip

Grip Logo

Rows	Up	Down
Grip