MericleGolf.com

Player Self Evaluation

Please complete this form as thoroughly as possible. Mark reviews every submission personally before your first session.

Personal Information

First name *

Last name *

Email address *

Phone number

Lesson plan / goal *

General Golf Background

Age

Years playing golf

How often do you play?

Any physical limitations?

Do you exercise regularly?

How often do you practice?

Time on full swing

Chipping / pitching / sand

Time putting

Average score (9 or 18 holes)

Average driver distance

Sports played in high school / college (for a team)?

What is your goal for your lessons?*

Rate Your Game (1–10)

Overall

Mental game

Driver

Hybrids

Irons

Wedges (inside 125 yds)

Chipping / pitching

Sand bunker

Putting

Do you keep your scorecards?

Ball Flight & Shot Tendencies

Typical ball flight with driver

Biggest problem with irons (check all that apply):

Hitting behind the ball (fat)Hitting thinPushing rightPulling left

Direction of curve on irons

Short Game & Putting

Short game weaknesses

Average putts per round

Putts missed inside 5 feet per round

Equipment

Please send a photo of your driver (soleplate and shaft), any iron, your wedges, and your putter to mark@mericlegolf.com.

Equipment notes (brand, model, shaft flex, etc.)

Filming Your Golf Swing

Please see the filming golf swing tutorial on the website. Include down-the-line and face-on views to start — driver, irons, and putter. Use slo-mo on your phone or the highest frame rate available on your video camera.

Swing video link (optional)

Additional notes