JACKGALEGOLFLESS​ONS.COM​


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Pre-Instruction Questionnaire
Jack Gale Golf Lessons
508-783-5763
Jack@JackGaleGolfLessons.com
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1. What is the main reason you decided to seek out instruction?
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2. What is the short-term goal that you would like to work towards?
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3. What is your ultimate goal for this season’s instructional experience?
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4. Rate your current confidence level from one to ten (ten being most confident) in each specific golf area.


Putting: ____             Greenside Short Game: ____         Distance Wedges (40-120): ____
Irons/Hybrids: ____  Fairway Woods: ____                      Driver: ____

5. What type of shot scares you the most?
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6. What drives you to keep working on your game?
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7. How often do you practice/play?
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8. What does your typical practice session look like?
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9. What fitness/nutritional habits do you currently utilize in your daily life?
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10. Do you currently keep any stats or formalized note taking on your golf game?
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11. How much instruction have you received in the past - what were the benefits/detriments of how it was delivered?

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