Fairway Performance Client Application Form

1
To confirm, you are filling this out because you want to hit the ball further, shoot lower scores and have the fitness to close out every round with ease without having to sacrifice time on the golf course to do it?* This field is required.
Yes - I am serious and want to learn more about achieving these things.
No - I'm going to leave this page immediately.
2
What is your First name?* This field is required.
3
What is your Last name?* This field is required.
4
Which of the following best describes your goal with Fairway Performance?* This field is required.Choose as many as you like?
I want to be able to finish rounds of golf without feeling fatigued and sore
I want to hit the ball further to improve my scoring potential and to not be the shortest hitter in my group
I want to improve my mobility so I can incorporate swing changes I have been working on forever
I'm not exactly sure what my specific goals are, but I do know my current approach to health, fitness and training for golf is not working the way I would like it to
I'm a coach myself and understand coaches need coaches and since Fairway Performance is a leader in online golf fitness coaching I'm hoping to learn from your staff so I can better serve my clients
I have no clue, but I know I need to invest in my health and fitness if I want to continue playing golf without injury for the rest of my life
5
How much have you spent or what have you done recently to work on these things?* This field is required.So we have an idea on things you have tried in the past to ensure the programming I can offer is a new and different approach
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6
What is your current occupation and how long have you been doing it?* This field is required.Work environments have a huge impact on stress, program adherence and time you can dedicate. This helps us understand what kind of obstacles we'll be up against?
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7
Do you have a significant other? If so, are they supportive of you potentially investing in your golf fitness journey?* This field is required.
Yes, I have a significant other and they are super supportive!
Yes, I have a significant other but this is my decision to make.
Yes, I have a significant other but they may need to be on the call with me to make a joint decision.
No, I'm single and make my own decisions.
8
If you were able to find a way to hit the ball further, get golf fit and shoot your lowest scores ever would you be willing and able to invest in getting the help necessary to get there?* This field is required.
Yes, I have the cash to invest in myself.
Yes, I may or may not have the cash to invest but I'm resourceful and or have access to credit.
No, my cashflow is month to month and I have no access to credit.
9
What is your email address?* This field is required.So we can hook you up with some free resources after our strategy session
example@example.com
10
What is your instagram name?* This field is required.Please type the full name e.g. @shaun.diachkoff
11
What is your phone number?Please confirm your mobile number [It's really important this is correct so that we can confirm your application + help you book your free strategy session]
Please enter a valid phone number.
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