Email
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How many fairways, on average, do you hit per round?
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0-3
4-7
8-11
12-14
On average, how far do you hit your driver?
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Less than 150
Between 151 - 200
Between 201 - 250
Between 251 - 300
> 300
Do you currently exercise?
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Rarely or never
1-2 times per week
3-4 times per week
5 or more times per week
Please describe your current exercise program:
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Please rate your current flexibility level:
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Poor - I struggle to touch my toes or rotate my torso comfortably.
Below Average - I can touch my toes with some effort but have limited rotation.
Average - I can touch my toes and rotate my torso relatively easily.
Above Average - I am very flexible and can easily reach beyond my toes and rotate my torso freely.
Can you comfortably perform a full squat with proper form?
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Yes
Yes
No
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Do you have any previous injuries or physical limitations that affect your golf swing or physical activity?
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How would you describe your grip strength?
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Weak
Average
Strong
During your golf swing, do you feel any of the following? (check as many as apply)
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Loss of balance
Inconsistent ball striking
Early release (casting)
Difficulty rotating fully
Pain or discomfort
None of these
Do you currently use any golf training aids or equipment to improve your swing mechanics or physical conditioning? If so, please list them below.
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Is there anything specific you would like your trainer to know?
