Personal Fitness & Golf Questionnaire

Thank you for taking the time to fill out this personal fitness and golf fitness profile. This information will be our guide to satisfying your fitness and golf priorities.

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 Fitness Profile
Weight (LBS): LBS
Body Fat Percent: %
Girth Measurements:
Chest Inches
Abdomen Inches
Hips Inches
Hip/Waist Ratio:
(click here for the test)

Flexibility Profile
Shoulder Rotation
Can both hands touch behind
my back?
(click here for instructions)
Hamstring flexibility
Can you touch your toes from a sitting position while bending from your hips?
(click here for instructions)
Spinal Rotation
Can you rotate to a minimum of 10
and 2 o’clock?
(click here for instructions)
Hip Rotation
Did you pass the internal/external hip rotation test?
(click here for instructions)

Nutrition Profile
How many meals do you consume daily?
How many calories do you consume daily?
Your current energy level during golf?

Strength Profile
How many push ups can you do?
How many wall push ups can you do (for Seniors)?
How long can you perform wall sits?
For example, 30 sec, 45 sec, 60 sec, etc.
How long can you hold the “Plank” position?
(click here for instructions)

 Cardio Profile
What are your results from the
Cooper 12 minute walk/run test?
(click here for the test)
What is your current cardio endurance?

 Golf Specific Profile
My current USGA handicap?
What is your current index?
What is your current swing speed?
What is your current average for:
Fairways In regulation
Greens In Regulation
Putts Per 18 holes
Putts Per Greens In Regulation
Record your Average Length per Club:
Driver
3-Wood
5-Wood
7-Wood
9-Wood
11-Wood
Hybrid Club
2-Iron
3-Iron
4-Iron
5-Iron
6-Iron
7-Iron
8-Iron
9-Iron
Pitching Wedge
52 Degree Wedge
54 Degree Wedge
56 Degree Wedge
60 Degree Wedge