What is your name?
What is your GolfWorks
account number (if known)?
How would you like us to contact you with our recommendation?
Select One
Email
Fax
Telephone
What is your current handicap?
Select One
Scratch or Better
1 - 5
6 - 10
11 - 15
16 - 20
21 - 25
26 - 30
31 or higher
Don't Know
What is your current average 18 hole score?
Select One
Par or Better
73 - 79
80 - 84
85 - 89
90 - 94
95 - 99
100 - 110
111 or Higher
Don't Know
Male
What is your height?
Select One
6' 6"
6' 5"
6' 4"
6' 3"
6' 2"
6' 1"
6' 0"
5' 11"
5' 10"
5' 9"
5' 8"
5' 7"
5' 6"
5' 5"
5' 4"
5' 3"
5' 2"
5' 1"
5' 0"
Over 6' 6"
Under 5'
Right
Handed
Do you
have any physical limitations when you swing a golf club?
What
size grip do you use?
Select One
Standard
1/64" Oversize
1/32" Oversize
3/64" Oversize
1/16" Oversize
1/64" Undersize
Jumbo
Don't Know
What size glove do you wear (cadet gloves have shorter fingers)
Select One
Small
Medium
Medium Large
Large
X Large
XX Large
Small Cadet
Medium Cadet
Medium Large Cadet
Large Cadet
X Large Cadet
XX Large Cadet
Don't Know
Don't Wear Glove
When
you grip a golf club in your your upper hand (left for RH players, right
for LH players),
Do
not touch the heel portion of your palm
Barely
touch the heel portion of your palm
Dig
into the heel portion of your palm
What
is the current brand/model of driver you play?
What
is the loft of your current driver?
Select One
Less than 8
8
8.5
9
9.5
10
10.5
11
11.5
12
Greater than 12
Don't Know
What
is the shaft flex of your current driver?
Select One
X-Stiff
Stiff
Regular
Senior
Ladies
Don't Know
What
is the length of your current driver?
Select One
47"
46.5"
46"
45.5"
45"
44.5"
44"
Other - Please Specify
Don't Know
If Other
How
often do you feel you hit your driver solid (hit in the center of
the face)?
Select One
100% of the time
75% of the time
50% of the time
25% of the time
10% of the time
Never
Don't Know
What
is the preferred shaft material in your driver?
Select One
Graphite
Steel
No Preference
What
is your average driving distance?
Select One
Less Than 150 Yards
Between 150 and 174 Yards
Between 175 and 199 Yards
Between 200 and 224 Yards
Between 225 and 249 Yards
Between 250 and 274 Yards
Greater than 275 Yards
Don't Know
Select One
Less Than 150 Yards
Between 150 and 174 Yards
Between 175 and 199 Yards
Between 200 and 224 Yards
Between 225 and 249 Yards
Between 250 and 274 Yards
Greater than 275 Yards
Don't Know
With your driver, do you have a specific tendency to (select all that
apply):
What
is the current brand/model of irons you play?
What
is the shaft flex of your current irons?
Select One
X-Stiff
Stiff
Regular
Senior
Ladies
Don't Know
How
often do you feel you hit your 6 Iron solid (hit in the center of the
face)?
Select One
100% of the time
75% of the time
50% of the time
25% of the time
10% of the time
Never
Don't Know
What is the carry distance of you 6 Iron?
Select One
190 Yards or Longer
180 - 189 Yards
170 - 179 Yards
160 - 169 Yards
150 - 159 Yards
140 - 149 Yards
130 - 139 Yards
120 - 129 Yards
110 - 119 Yards
100 - 109 Yards
90 - 99 Yards
Less Than 90 Yards
Don't Know
Select One
150 Yards or Farther
140 - 149 Yards
130 - 139 Yards
120 - 129 Yards
110 - 119 Yards
100 - 109 Yards
90 - 99 Yards
80 - 89 Yards
70 - 79 Yards
60 - 69 Yards
Less Than 60 Yards
Don't Know
What
club do you hit from 150 yards?
Select One
Wood / Hybrid
3 Iron
4 Iron
5 Iron
6 Iron
7 Iron
8 Iron
9 Iron
Wedge
Don't Know
Is your current ball flight?
Select One
Too High
OK
Too Low
Do you want to hit the ball?
Select One
Higher
Same
Lower
What
is the preferred shaft material in your irons?
Select One
Graphite
Steel
No Preference
With your irons, do you have a specific tendency to
(select all that apply):
What
is the longest iron you hit with confidence?
Select One
3 Iron
4 Iron
5 Iron
6 Iron
7 Iron
8 Iron
9 Iron
Wedge
Don't Know
