Golf Questionnaire

Learning more about you and your golf game.

Thank you for booking a Golf Lesson

Golf Questionnaire

To maximize your time on the lesson tee, please complete our online golf questionnaire before your scheduled appointment.

This crucial pre-lesson step allows me to thoroughly review your game profile. Including your golfing history, specific goals, current challenges, and even any injury considerations—well in advance.

By providing this information upfront, we bypass introductory assessments on the range. Allowing me to be fully prepared with a tailored improvement plan.

This ensures we can dive immediately into personalized instruction and swing analysis, spending every valuable minute focusing purely on your game development.

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

FILL OUT ASSESSMENT FORM

Golf Questionnaire

The fields marked with a red asterisk * are mandatory.

Please take the time to try and fill out all fields. The more I know about you and your golf history the better it will be for your progress.

CLIENT INFORMATION

Your Name*

Email address*

Age

Gender

Phone*

Do you swing ....

Right Handed

Left Handed

YOUR GOLF HISTORY

How long have you been playing golf?*

What is your current golf handicap (if known)?

Are your golf clubs ...*

Custom Fitted

Off the Rack

Combination of both

How many rounds (18 holes) do you typically play in a year?*

What is your typical score when playing 18 holes?*

Have you taken golf lessons before?*

Yes

GOLF EQUIPMENT DETAILS

Which clubs do you currently use? (Brand + model if known)

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

What is your driver loft?

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).

What is the shaft flex of your clubs?

Do you have any concerns with your equipment?

PHYSICAL & MOBILITY

Inform rotation, setup, and swing mechanics.

Any past or current injuries (back, shoulder, elbow, hip, knee)?

Yes

Do you have any flexibility limitations?

When you swing at full speed, what is your comfort level?

BALL FLIGHT, SHOT TENDENCIES

Identify swing path + face issues before the video assessment.

When you ball is in flight, what does the ball usually do?

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

When making contact with the ball, are you hitting the ball ...

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

What is the typical trajectory of the ball when hit?

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

Which shot do you fear the most?

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.

What part of the swing feels most difficult?

On a scale of 1–10, how confident are you with your swing?

Are there any previous swing tips, lessons, or methods you’ve tried?

What one thing do you think holds your game back most?

Haven't played golf in years

Don't know where to start

Don't practice enough

Don't know how to practice

Not very flexible

My equipment might be too old

Don't play enough

The people I golf with are holding me back

Other (Describe below)

If you chose OTHER above, please describe in detail below.

GOALS & MOTIVATION

Critical for creating a personalized improvement plan & retention.

What are your primary golf goals?

Learn fundamentals

Improve contact

Fix a slice or hook

Gain Distance

Improve consistency

Lower score

How often can you realistically practice?

What are your short-term goals (next 30–60 days)?

What are your long-term goals (by the end of next season)

Why is improving your golf swing important to you?

PREFERRED LEARNING STYLE

Helps tailor communication & drills.

How do you learn best?

INDOOR ASSESSMENT READINESS

Previews what to expect in your 30-minute session.

Have you ever done an indoor swing assessment?

Yes

Are you comfortable hitting into a simulator/net?

Yes

Not sure

Are you bringing your own clubs?

Yes

No, I am borrowing from someone

I need clubs

ADDITIONAL NOTES

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

Phone Number*

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.

Junior Golf Lessons Regina
Adult Golf Lessons Regina
Corporate Golf Lessons 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.