Jan Brintnall Golf School, LLC

Learn, Practice and Improve™

Student Information Sheet

Please complete this information prior to your first lesson.

Just click "send" when you are finished!


First Name
Last Name
Address Line 1
Address Line 2
City
Zip Code
Daytime Phone	() -
Cell Phone	() -
E-mail Address
Evening Phone	() -
E Mail Address
Please list your reasons for playing golf
Please describe any experience that you have had with the game
How often do you play?
Favorite course or courses
What is your average score?
How often do you practice?
Please describe a typical practice session
What score do you believe you are capable of obtaining?
Describe any previous golf instruction
What would you like to learn from this lesson experience?
What part of your golf game is the strongest?
What part of your golf game is the weakest?
Please describe any hobbies or interests
What do you enjoy the most or expect to enjoy the most from golf?
How do you learn the best? Being shown how to do something, being told how to do something or feeling how to do something.
Please rank these from 1 to 5. Number 1 is the least likely. Number 5 is the most likely.
Social interaction
The challenge of the game
Being outside
Performance (score)
Other
Questions or Comments

"Learning to play is a journey. Consider me your Golf Sherpa"