Gender:  Female  Male     
Age:   Height: ft. in.  Weight: lbs.
                             m cm             kgs.

Left or Right Handed:  Right      Left

Glove Size: Small    Medium   Large  
                 X-Large Regular    Cadet

Standing straight with arms at your side, have someone measure
the distance from the first crease on the inside of your wrist to the floor:

Distance from wrist crease to the floor (inches):  Right
                                                                      Left

Handicap (if known)   Low 18-hole Score in last year
                                         High 18-hole Score in last year
                                         Average 18-hole Score           

How many years have you played golf?
Do you have any physical limitations (please explain)?
What would you like to improve about your game?
i.e. I would like to hit the ball with less trajectory

Woods:
Manufacturer's Name (i.e. Ping):
Model:  
Shaft Flex (if known): A(senior)  
                             L(ladies)  
                             R(regular)   
                             S(stiff or firm)  
                             X(extra stiff)

Shaft Type: graphite
                      steel

How far do you hit your driver?   under 200 yds
                                           200-225
                                           226-250
                                           over 250

What is your favorite wood? Driver  
                                       3-wood 
                                       5-wood   
                                       other

Flight of Ball:   Straight
                           Draw (move slightly to the left for a right-hander)                    
                    Hook (curves sharply left for right-hander)
                           Fade (move slightly right for right-hander)
                    Slice

Trajectory of Ball: High   Low   Average

Irons:
Manufacturer's Name (i.e. Ping):
Model: 
Shaft Flex (if known): A(senior)
                             L(ladies)
                             R(regular)
                                      S(stiff or firm)
                                      X(extra stiff)

Shaft Type:   graphite
                      steel

How far do you hit your 5 iron?   under 140 yds
                                           141-155
                                           156-180
                                           over 180

What is your favorite iron?     5 iron  
                                       7 iron
                                                    9 iron
                                                    other

Flight of Ball:   Straight
                           Draw (move slightly to the left for a right-hander)
                    Hook (curves sharply left for right-hander)
                           Fade (move slightly right for right-hander)
                    Slice

Trajectory of Ball: High   Low   Average

Is there any other pertinent information about your game that
you believe is important?
i.e. I do not like to hit woods