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The Tailored Game Assessment™
Discover the biggest opportunities in your golf game and receive a personalized improvement roadmap before investing in coaching.
About You
First Name
*
Last Name
*
Email
*
Phone Number
*
Age
*
Handicap
*
Right or Left-Handed?
*
Right or Left-Handed?
A
Right-handed
B
Left-handed
Your Golf
Typical score for 9 or 18 holes
*
Driver average distance
*
What is your biggest frustration in golf right now?
*
What is your biggest frustration in golf right now?
Inconsistent contact
Driver inconsistency
Slice or hook
Lack of distance
Pain or physical restrictions
No clear practice plan
Trouble making changes stick
What is your biggest goal for your game?
*
Your Swing
What is your typical miss tendency?
*
How would you describe your contact pattern?
*
Confidence with driver
*
Confidence with driver
1 stars
2 stars
3 stars
4 stars
5 stars
Confidence with irons
*
Confidence with irons
1 stars
2 stars
3 stars
4 stars
5 stars
Short game confidence
*
Short game confidence
1 stars
2 stars
3 stars
4 stars
5 stars
Putting confidence
*
Putting confidence
1 stars
2 stars
3 stars
4 stars
5 stars
Your Body
Do you experience pain or physical limitations while golfing or lingering after?
*
Do you experience pain or physical limitations while golfing or lingering after?
A
Frequently
B
Occasionally
C
Rarely
D
Never
Current or prior injuries that required surgery?
*
Exercise frequency
*
Any known mobility limitations?
*
Previous fitness experience?
*
Have you done a TPI or golf-specific physical screening?
*
Have you done a TPI or golf-specific physical screening?
A
Yes
B
No
Your Practice
How often do you practice?
*
What does your practice routine look like?
*
How structured is your practice?
*
How structured is your practice?
A
I follow a detailed plan
B
I have a general idea
C
I practice without a consistent plan
D
I rarely practice because I don’t know what to work on
Have you taken golf lessons before?
*
Have you taken golf lessons before?
A
Yes
B
No
What was your experience with previous lessons?
*
What do you feel has prevented your improvement until now?
*
Commitment
How committed are you to improving your game on a scale of 1-10?
*
How committed are you to improving your game on a scale of 1-10?
0
1
2
3
4
5
6
7
8
9
10
When do you want to start seeing improvements?
*
When are you hoping to begin?
*
When are you hoping to begin?
A
As soon as possible
B
Within 30 days
C
Within the next few months
D
I’m only gathering information
Are you looking for long-term coaching?
*
Are you looking for long-term coaching?
A
Yes
B
No, looking for a one-off session
Are you willing to follow a structured training and practice plan?
*
Are you willing to follow a structured training and practice plan?
A
Yes
B
No
How would you prefer to review your recommendation?
*
How would you prefer to review your recommendation?
A
I’ll book a call with Coach Justin now
B
Have Coach Justin reach out to me
C
I’m not ready to speak yet
Best phone number
*
Preferred contact method
*
Preferred contact method
A
Call
B
Text
C
Email
Best general time to reach me
*
Best general time to reach me
A
Morning
B
Afternoon
C
Evening
Submit
