01 About You

Full Name *

Please enter your name

Age *

Please enter your age

How did you hear about The Strength Caddie? *

Physician / physical therapist referral Golf instructor / coach referral Friend or playing partner Social media Google search

Other:

Please select an option

02 Your Golf Profile

How long have you been playing golf? *

Less than 2 years 2–5 years 6–10 years 10+ years

Please select an option

How often do you play or practice? *

1–2x per month 1–2x per week 3–4x per week Daily / near-daily

Please select an option

Current Handicap or Scoring Average

"Don't have one" is perfectly fine

What type of golfer best describes you? *

Recreational / social golfer Competitive amateur Junior competitor College golfer Aspiring / current professional

Please select an option

Do you work with a golf instructor or coach currently? *

Yes — actively I have in the past, not currently No

Please select an option

Are you interested in a Sports Psychology session? *

Yes No Maybe — tell me more

Please select an option

03 Your Primary Goal

What is the #1 reason you scheduled this assessment? *

I want to hit the ball farther I want to improve my consistency / ball-striking I have a physical limitation or injury affecting my game I want to understand what's physically limiting my swing I've been told by a coach I have a physical restriction I'm coming off an injury and want to return to golf I want a full picture of where I'm at physically and performance-wise

Other:

Please select an option

In your own words, what would a successful outcome from today look like? *

Take 2–3 sentences. This is the most important question on this form — it shapes how we structure your entire session.

Please share what a successful outcome looks like

04 Physical & Injury History

This section helps us determine whether your assessment has a physical therapy or rehab component. Answer honestly — it directly affects how we structure your session.

Are you currently experiencing any pain, discomfort, or physical symptoms? *

Yes No

Please select an option

Any injuries, surgeries, or procedures in the last 3 years that affect how you move or play golf? *

Yes No

Please select an option

Do you have any of the following? (check all that apply)

Current back pain or history of back issues Hip or groin tightness / pain Shoulder pain or prior shoulder injury/surgery Elbow, wrist, or hand issues Knee pain or prior knee surgery Neck pain or stiffness None of the above

Has pain or physical limitation caused you to modify your swing, reduce play, or stop playing? *

Yes No

Please select an option

Are you currently under the care of a physician, PT, or other healthcare provider? *

Yes No

Please select an option

05 Training & Physical Background

Do you currently do any strength, fitness, or movement training? *

Yes — consistently (3+ days/week) Yes — occasionally No — not currently No — and haven't in a while

Please select an option

Have you ever had a golf fitness or movement assessment before? *

Yes No

Please select an option

Anything else we should know before we get started?

About your body, your game, your goals, or your concerns. Optional but encouraged.

The strength caddie rehab and performance

Social Media

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