HOW GOOD A GOLFER ARE YOU RIGHT NOW?

HOME・ホーム
日本語
ゴルフスクール Menu
About Tom Fielding Golfについて
Photo / Video Gallery

HOW GOOD A GOLFER ARE YOU RIGHT NOW?

Thanks for taking the time to fill out your Golf and Life history. Your personal information is very important to your ongoing accelerated growth in Golf. The more honestly and thoroughly you answer these questions the better the player you will become, as we use our years of experience and address them with you in you program. With this information we can accelerate your learning and help you achieve your goals in Golf and in Life.

より良いサービスをご提供するために、添付のアンケートにお答えいただき、弊社までご返送いただければ幸いです
"To help us serve you better, we would be grateful if you could complete the attached survey and send it back to us."

重要と思われる点に関して、できるだけ詳しくアンケートにご回答下さい
Please fill out the questionnaire with as much detail as you feel is relevant.

(空所に)書き込む、記入する
fill out

アンケート、質問(書)
questionnaire

関連がある、重要性を持つ
relevant

皆様からのご回答は、私どものサービス向上に欠かせない、大切な情報となります
Your answers will be a most valuable resource as we work to improve our service.

* Indicates required field

Name *

First

Last

Phone Number *

Email *

How often do you play golf? *

How many hours per week do you practice? *

Average rounds per month *

Average rounds per Year *

Handicap / Monthly average score *

WHICH WAY WOULD YOU SAY YOU LEARN BEST? PLEASE EXPLAIN *

Visually (By watching) Verbally (Listening to teachers instructions)Option 2 By Feel / Doing / Kinesthetic A combination of all of the above Do not know

From which of the following sources do you get the most benifical information, which is of the greatest benefit to your golf game? *

Your professional instructor The Golf Channel YouTube Self Video Reading materials Going to Golf Tournaments / Watching on TV Other

If other please specify *

What are your other interests and hobbies? *

What other sports have you played? *

What physical problems have you had or are currently experiencing, including soreness in any part of your body? Do you have any injuries or physical limitations that affect your swing? If so, please describe: *

Do you usually warm-up prior to playing & practicing? If so, for how long? *

Your Golf Game.

DO YOU REGULARLY KEEP STATS ON YOUR GOLF GAME WITH NOTES DESCRIBING YOUR PLAY? *

YES NO

WHAT INFORMATION DID YOUR PREVIOUS INSTRUCTOR GIVE YOU AND WHAT ARE YOU CURRENTLY WORKING ON? * (改善するために何かに打ち込む・（取り組む) *

What are your swing thoughts and/or swing concepts *

If the ball doesn't travel straight, which ball flight would you prefer * ゴルフボールが真っ直ぐへ飛ばさない時にどの球筋を打ちたいでしょうか？目指す持ち球、その理由を教えてください！ *

WHAT BEST DESCRIBES YOUR BALL FLIGHT? WHAT TYPE OF BALL FLIGHT DO YOU PREFER? * どんな球を打ちたいか？打ちたい方向に打ちたい曲がりで打てる。 *

What direction does your ball go on a drive that you mishit? *

DO YOUR BEST TO COMPLETE THE FOLLOWING AVERAGES:

Fairways Hit *

Bunker saves% *

Greens in regulation *

Total putts *

50 Yards% *

30Yards% *

WHAT IS YOU’RE CLUB THAT YOU FEEL YOU CAN HIT WELL?

BEST CLUB *

WORST CLUB *

Rank in Order your favourite part of the game of golf:

Driver *

FAIRWAY WOODS *

LONG IRONS *

MID IRONS *

SHORT IRONS *

SHORT GAME *

BUNKER *

PUTTING *

MENTAL MANAGEMENT *

OTHER, PLEASE SPECIFY *

WHERE DO YOU FEEL is YOUR MOST NEEDED AREA FOR IMPROVEMENT? *

IF THRU the golf camp training program, YOU WOULD BE GUARANTEED IMPROVEMENT IN ANY GOLFING SKILL, WHICH WOULD YOU CH00SE? *

More Distance Tee Shot Keeping the ball in play Outstanding putting Wedge play Bunker play Better Iron Play Better Concentration Control over Temper Emotional Control

FROM YOUR EXPERIENCE, WHICH TWO ITEMS CONTRIBUTE MOST TO THE SHOTS YOU HIT P00RLY? *

A - LACK OF CONFIDENCE B - LACK OF PHYSICAL ABILITY C – BAD LIES D - LACK OF KNOWLEDGE OF HOW TO PLAY SHOT CORRECTLY E – LACK OF CONCENTRAT10N F - FEAR AND OTHER EMOTIONAL FACTORS H - 0THER SPECIFY

If Other Please Specify *

1. WHAT IS YOU’RE SINGLE GREATEST PSYCHOLOGICAL FEAR WHEN PLAYING GOLF? *

A - BUNKER SHOTS B - GETTING OFF THE FIRST TEE ADEQUATELY WHILE PEOPLE WATCH C – HITTING OVER WATER HAZARDS D - HITTING SHOTS OUT OF BOUNDS ON TIGHT HOLES E - PLAYING WITH PLAYERS MUCH BETTER THAN YOU F - MISSING SHORT PUTTS G - OTHER. SPECIFY

Untitled *

PUTTING

1 What best describes your putting, Check all that pertain to you *

A. Great all around putter B. Poor lag putter C. Can't make clutch putts from 6 feet and in. D. Good short putter E. Often trying something new to assist my putting F. Have a purposeful routine i always use. G. I trust my Stroke

2 Mark any of the following responses that pertain to you: *

1. I like to die my putts very close to the hole. 2. I believe the speed of putts should be at least 1 foot past the hole every time. 3. I consider myself a very aggressive putter, charge everything, and not afraid of the next putt 4. I like to consider myself an assertive putter, with great speed and control. 5. I believe mechanics of the stroke are important and must be practiced 5. I do not need to practice the mechanics in putting. I have developed my Stroke. 16. 6. I understand my method and believe it is right on, 7. I’m always looking for new mechanics that will take me to my goals in putting. 8. In tournament play. I'm thinking of mechanics often, especially if I'm missing putts. 9. The best putters have awesome mechanics and I don’t believe I have mine down

Check the following that pertain to you:

Choose Any *

1. I practice my putting six days a week. 2. I take my putter home or to the hotel every night except days off and roll putts 3. I try to work on my putting three days per week. 4. I have a precise practice program that I follow. 5. I wish I would practice my putting much more. 6. I typically roll a few putts before a round of golf to get a feel for the greens and that typically is about my extent of practice.

Do you have any putting tools or drills that you use in Practice sessions? If so please detail them for us. *

Check the following that pertain to you:

Choose Any *

1. I am an excellent short putter from five feet and in. 2. I love to putt. 3. I am very good at reading greens of all types and grasses. 4. I struggle with green reading and feel if there is improvement in this area my scores would be much lower. 5. I am great at reading the speeds of greens and very seldom three putt. 6. Three putting is a problem that I need to clear up. 7. I make a lot of putts in the 10 – 18 foot (3 to 6m) range. 8. I do not make enough putts from 10 – 18 (3 to 6m) foot range

Putting statistics.

Choose Any *

1. I average two 3 putts or more per round in competition. 2. I have about 1 three putt each round in competition. 3. I very seldom ever have a three putt in competition. 4. My putting average in competition is 32.5 - 33.5 5. My putting average in competition is 31.5 – 32.4 6. My putting average in competition is 30.5 - 31.4 7. My putting average in competition is 29.5 – 30.4 8. My putting average in competition is 28.5 – 29.4 My putting average in competition is over 34

Putting averages if 35 putts or more *

Check all the putting routine statements that pertain to you:

Choose Any *

1. I have a specific routine that I follow that puts me in great position to understand speed, aim and mental freedom. 2. From time to time I’ve tried different routines that have been beneficial. 3. I typically do not use the same routine time and again because it seems to make more sense. 4. I believe putting is a feel part of the game only and would get confused and lose focus with a putting routine 5. I do not have a putting mental routine. I wish I did.

How Good A Golfer are you right now?

(PHOTOCOPY AS NECESSARY)

DATE _______________ REVIEW 1 ___________________ REVIEW 2 ____________________

Driving *

Fairway Woods *

Long Irons / Hybrids *

Middle Irons *

Short Irons *

Pitching *

Chipping *

Sand Play *

Putting-long putts-short putts *

Shaping the Ball *

Recovery Shots *

Handling Adversity *

Controlling Neg. Emotions *

Self Talk *

Pre-Shot Routine *

Developing a Game Plan *

Following a Game Plan *

Course Management *

Stroke Play

Reacting to Scores

Routines

Concentration

Mental Preparation

Travelling

Fitness

Diet

Strength

Organisational Preparation

Injury Prevention

Planning Practise

I agree to receiving marketing and promotional materials

Submit

We Would Love to Have You Visit Soon!

Telephone

090-6709-1728

Email

[email protected]