Information Form

Our sign up procedure

When you send us your completed online information form we will study it and get back to you to confirm that we are sure we will be able to help you. We will then send you a request for the fee via PayPal or Worldpay. You will receive advice on filming your swing and the different methods of sharing them with your selected coach.

Details

Name*:

DOB*:

Profession (or ex-profession):

What device do you use?

Skype Id:

Address*:

Home Tel:

Mobile/Cell Tel:

Your Email*:

No. of years playing golf:

Current h/cap:

Lowest previous h/cap:

No. of previous teachers (approx):

No. of lessons in last 5 years (approx):

Other sports at any time of your life:

Best sport:

Level achieved in that sport:

General golfing strengths:

General golfing weaknesses:

Any issues with the clubs you use:

Any physical limitations (eg bad back / tennis elbow/ previous injuries):

Your personal objective/s for this course:

Please score the following aspects of your game from 0 (poor) to 10 (excellent)

General Consistency:

Accuracy - Woods:

Accuracy - Irons:

Short Game:

Putting:

Bunker Play:

Balance:

Getting Through to Good Finish:

Rhythm:

Swinging Without Effort:

Swinging Without Tension:

Course Management:

Putting Bad Shots Behind You:

Staying Calm / Avoiding Frustration:

How Happy I Am With My Game in General:

Additional information

How did you find out about Brian Sparks/Positive Impact Golf?

As part of our ongoing research, could you give your opinion on "Why do golfers NOT take golf lessons?"

Your preferred Coach?*

I agree to the Terms & Conds / Privacy Policy

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Thank you for your interest in our online coaching services!

A unique school of thought for senior golfers

Our sign up procedure

Details

Please score the following aspects of your game from 0 (poor) to 10 (excellent)

Additional information

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