Player Statistics

1. What is your name?

2. What is your GolfWorks account number (if known)?

3. How would you like us to contact you with our recommendation?

   Select One Email Fax Telephone
   

   What is your email address or contact number?

4. 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

5. Male

   Female

6. 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'

7. Right Handed

   Left Handed

8. Do you have any physical limitations when you swing a golf club?

   Yes No

   If yes please explain:

9. 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

10. 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

11. When you grip a golf club in your your upper hand (left for RH players, right for LH players), your middle two fingers:

    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

Player Characteristics:

Driver

1. What is the current brand/model of driver you play?

2. 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

3. What is the shaft flex of your current driver?

   Select One X-Stiff Stiff Regular Senior Ladies Don't Know

4. 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

5. 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

6. What is the preferred shaft material in your driver?

   Select One Graphite Steel No Preference

7. What is your average driving distance?

   Carry

   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

   Total Carry and Roll

   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

8. With your driver, do you have a specific tendency to (select all that apply):

   Top It
   Push It
   Sky It
   Slice It
   Hit it Low
   Pull It
   Hook It
   Straight, but unsolid
   Very Inconsistent
   Don't Know

Irons

1. What is the current brand/model of irons you play?

2. What is the shaft flex of your current irons?

   Select One X-Stiff Stiff Regular Senior Ladies Don't Know

3. 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

4. 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

   Pitching Wedge?

   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

5. 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

6. Is your current ball flight?

   Select One Too High OK Too Low

7. Do you want to hit the ball?

   Select One Higher Same Lower

8. What is the preferred shaft material in your irons?

   Select One Graphite Steel No Preference

9. With your irons, do you have a specific tendency to (select all that apply):

   Top It
   Push It
   Sky It
   Slice It
   Hit it Low
   Pull It
   Hook It
   Straight, but unsolid
   Very Inconsistent
   Don't Know
   

10. 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

Wedges

1. What brands of wedges do you currently carry?

   Pitching Wedge

   Loft Bounce
   

   Gap Wedge

   Loft Bounce
   

   Sand Wedge

   Loft Bounce
   

   Lob Wedge

   Loft Bounce
   

   Other Wedge

   Loft Bounce
   

2. How well do you get out of a bunker around the green?

   Select One No problem with sand play Out and on the green 95% of the time Usually out and on the green Usually stay in bunker Very Inconsistent Don't Know

3. What is your level of confidence regarding bunker play?

   Select One High Medium Low None Don't Know

4. With your short game pitches and chips, do you have a tendency to (select all that apply):

   Stub It (Hit it Fat)
   Blade It (Hit it Thin)
   Hit solid, but too hard
   Leave it short
   Pull It
   Push It
   Very Inconsistent
   Don't Know

5. What type of shots around the green do you have the most confidence in and success with?

   Select One Chip and run (9 Iron or Wedge) Chip and run (7 Iron or Chipper) Pitch and run with a SW Lob shot (SW or LW) Pitch and Stop (SW) Other - Please Specify Don't Know
   Other

Verification Code

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