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5790 Cooper's Hawk Rd
Klamath Falls, OR, 97601
541.417.2050
for lower scores, longevity, and love of the game
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Welcome
About
Instruction
Rates
Instructional Videos
Student Evaluation Form
Testimonials
Partners
Contact
Pre-Lesson Questionnaire
Name
*
First Name
Last Name
Email Address
*
Phone Number
*
(###)
###
####
Date of scheduled lesson
*
MM
DD
YYYY
Age
*
Are you left or right handed?
*
Present handicap, if known.
*
Please describe any physical limitations or past injuries.
*
Do you currently participate in any physical conditioning activities or other sports?
*
Have you ever had a TPI screening?
*
Have you had previous golf instruction? If so, please describe.
*
How often do you play?
*
How often do you practice?
*
Please describe the strongest and weakest parts of your game.
*
What do you hope to gain from your lesson?
*
How did you hear about me?
*
Thank you!
