306 533 4803

Golf Swing Assessment Questionnaire

Learning more about you and your golf game.

Thank you for booking a
Golf Swing Analysis

What is the next step?

Please fill out the Assessment Form below.

This form will provide more information about you, your equipment and your golf swing.

As this indoor golf swing assessment is only for 25-30 minutes, the more information you can provide will help in the assessment process.

A few weeks after your golf swing assessment, you will receive:

  • detailed information about your swing
  • a list of things to work on
  • a simple routine to follow when you next practice
  • an invite to a spring, outdoor group golf lesson (learn what a golf lesson is like)

Golf is a sport that you can get better at in your basement, garage, indoor range and outdoor range. You can practice your grip, balance, swing tempo and more with or without swinging a club or hitting a golf ball.

Certified Golf Teaching Pro Regina

Please fill out your golf assessment form as the next step.

FILL OUT ASSESSMENT FORM

Golf Assessment Form

CLIENT INFORMATION

YOUR GOLF HISTORY

GOLF EQUIPMENT DETAILS

If you golf set is a mixture of different brands, just provide the brand and model (if known) of your driver.

You find your driver's loft on the club's sole (bottom) or sometimes the face, usually stamped as a number like 9.5°, 10.5°, etc., but for adjustable drivers, this is the "stated loft," and the real "effective loft" changes with the adapter settings (like + or -) on the hosel (where the shaft meets the head).

PHYSICAL & MOBILITY

Inform rotation, setup, and swing mechanics.

BALL FLIGHT, SHOT TENDENCIES

Identify swing path + face issues before the video assessment.

For a Right Handed Golfer, a Slice curves way to the Right, and it curves way Left for a left-handed golfer.

For a Right Handed Golfer, a Slice curves way to the Right, and it curves way Left for a left-handed golfer.

For a Right Handed Golfer, a Slice curves way to the Right, and it curves way Left for a left-handed golfer.

For a Right Handed Golfer, a Slice curves way to the Right, and it curves way Left for a left-handed golfer.

SWING & TECHNIQUE ASSESSMENT

Understand what the golfer feels they struggle with.

GOALS & MOTIVATION

Critical for creating a personalized improvement plan & retention.

PREFERRED LEARNING STYLE

Helps tailor communication & drills.

INDOOR ASSESSMENT READINESS

Previews what to expect in your 30-minute session.

ADDITIONAL NOTES

Anything else you'd like me to know before your assessment?

Regina Golf Blog

Don't have time for lesson?

Check out my golf blog for tips and drills.

READ ARTICLES

REGINA GOLF LESSONS

Learning golf makes your game more enjoyable. Eliminate frustration and disappointment today!

We take great pride in helping our students achieve their goals. Barry provides several golf lessons and clinics.

WHERE CAN I TAKE GOLF LESSONS IN REGINA?

Barry teaches golf to all levels of golfers in Regina.

WHEN CAN I TAKE GOLF LESSONS?

Golf Lessons are held in Spring, Summer, and Fall at Flowing Springs Golf Greens.

Winter Lessons are taught at Divots Indoor Golf.

CONTACT BARRY

To learn more about Golf Lessons in Regina, call Barry at 306 533 4803 or email Barry.

GOLF GLOSSARY

The golf glossary used on this site is courtesy of the PGA website.

© COPYRIGHT 2026 GOLF LESSONS REGINA | B.E. a Better Golfer with Barry Eisenzimmer