NEW STUDENT ASSESSMENT INTERVIEW
Student Name:
Date of Assessment:
Email:
Phone:
Is this your first golf coaching experience?_____________Yes/No
Do you currently play golf?_____________Yes/No If so what is your current handicap index or average
score?______________________________________
Are you returning to golf after a absent period?__________Yes/No If yes how long has it been?_____________
Why do you play or are looking to play golf? Check all that apply.
Golf is Outside: ______________
Golf is Social: __________
Golf is Exercise: ________
Golf Is good for competition: ________
Golf gives me time with my family: _________
Something else: _________
Golf is/or looks fun: ___________
Golf is/or looks easy to play: __________
Golf is something I can do as I get older: ___________
If you currently play golf what are your strengths? Check all that apply?
Full Swing: __________
Trouble Shots: __________
Pitching: _________
Chipping: ___________
Bunkers: ___________
Putting: ___________
Something else: ________
Staying mentally and emotionally in balance: ________
NEW STUDENT ASSESSMENT INTERVIEW (CONTINUED)
How long do you want to seek the input from a golf coach? Check the one that apply’s best.
3 coaching sessions or less:_________
4 to 6 coaching sessions:_________
7 to 12 coaching sessions:_________
Just enough to get me going:__________
I’m looking for a long term coach:__________
Long term weekly:__________
Long term monthly:__________
A few coaching sessions then have a coach that I can easily go back to:___________
Something else:___________ If something else briefly share here or share with the coach when you
meet them:________________________
Not really sure:____________
Are you a Junior (under 18) that wants to play on a college golf team?__________Yes/No
Are you a Junior (under 18) that wants to play on a high school team?__________Yes/No
Are you a junior (under 18) or adult (over 18) that wants to play professional golf?__________Yes/No
Please list anything her that you want to share with the coach that is not covered above or share it with the coach
when you meet them:__________________________