Client Intake Details
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Age, Height & Weight
Handicap / Experience Level
Swing orientation
Left handed
Right handed
Clubhead speed (if known)
What do you do to stay active & healthy? What activities do you enjoy with family / friends?
What do you eat in a typical day? What do you eat before/during a round of golf?
Do you have any injuries or health conditions? If so, are you being treated by a medical professional? Have you been cleared for exercise?
Do you have a golf swing coach? If so, what are you working on with him/her?
What type of fitness equipment, if any, do you have easy access to?
Communication Preference:
Text message
E-mail
Telephone call
Other
Submit
Should be Empty: