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* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Phone
Your answer
Email address
*
Your answer
Are you an:
*
Amateur Golfer
Professional Golfer
If you are an amateur, please list your handicap or score range. Professionals list: N/A
*
Your answer
Have you taken lessons before?
*
Yes
No
Stock Shot Preference:
*
Fade
Draw
Predominate directional miss:
*
Right
Left
Inconsistent
Description of your goals or what you are looking to improve:
*
Your answer
How often do you play golf?
*
Your answer
How often do you practice?
*
Your answer
Optional TPI Pre-Assessment Question - Do you have any current or pass issues or injuries with:
Neck
Mid-Back-Rib
Lower Back
Left Hand/Wrist
Right Hand/Wrist
Left Elbow
Right Elbow
Left Shoulder
Right Shoulder
Left Hip
Right Hip
Left Knee
Right Knee
Left Foot/Ankle
Right Foot/Ankle
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