Introduction

Welcome to Mindful Sports Experience

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The following questions are designed to help us discern your needs and purpose for contacting us.

The information you provide will remain confidential and will not be shared with any third party.

First Name:*

Last Name:*

Primary Contact Email:*

What is your Occupation? (If student, write in student):*

What is your level of golf experience?:*

Beginner

5+ Years

10+ Years

Experienced Low Handicapper

What other sports do you play or have played, and at what levels?:*

What is the purpose of your choice to learn more about Mindful Sports Experience?:*

What is your goal regarding your golf game?:*

What is your availability for sessions? Do you prefer private or group sessions?:*

What is your personal gender preference?:*

What is your age range?:*

10-18 yrs old

18-35 yrs old

35-55 yrs old

55+ yrs old

What are goals as a player? :*

What is your phone number? when is a good time to set up free call?: