Player Assessment
Impact Performance Golf Learning Center
Student Name
*
First Name
Last Name
Parent Name (If applicable)
First Name
Last Name
Email
*
example@example.com
Phone #
*
What type of golf instruction are you interested in?
All Instruction Packages
Adult Lessons
Junior Lessons (Individual)
Youth Programs (Group)
Group Instruction & Clinics
Playing Lessons
Trackman Lesson
Trackman Practice
Other
Student's Age
How would you describe your skill level in golf?
Complete Beginner
Some Experience (been to the driving range/played a few times)
Intermediate (play/practice often)
Advanced
Other
On average, how often do you play and/or practice golf?
A few times per year
Once a month
2-3 times per month
More than once a week
Have you taken any golf lessons in the past?
Yes
No
Tell us a little about your golf game, goals, and any specifics you'd like to work on...
Are there any specific aspects of your game you'd like to improve? What are the strengths/weaknesses of your game? Do you have any goals for your game? Do you plan to play tournament golf? Etc...
Submit
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