Skip to content
WELCOME TO NEUROSCIENCE FOR ATHLETES
Toggle Navigation
Brain Anatomy and Function
Training Technique
Nutrition and the Brain
Events
About Us
Our Team Leaders
In the News
Resources
Videos
Golfers, take your self-evaluation survey and get the expert’s recommendations. Start your Survey Here
Toggle Navigation
Brain Anatomy and Function
Training Technique
Nutrition and the Brain
Events
About Us
Our Team Leaders
In the News
Resources
Videos
Survey Form
Waleed
2023-10-31T04:58:33+00:00
Multiple Step Survey Form Feel Free to Submit
Golfers, take your self-evaluation survey to measure your emotional mood, psychology, nutrition, sleep, training, and the impactions on your golf performance!
Demographic Information
Name
*
Email
*
Gender
Male
Female
Other
Age
Weight (lb)
*
Height (inches)
*
Do you consider yourself?
Beginner
Average
Advanced
Amateur tournament player
Junior golfer
High school golf team
College golf team
PGA pro
Years of Golf Experience:
*
Current Handicap:
Average fairway regulation (%)
*
Average green regulation (%)
Average putts per round:
*
Average up & down (%)
*
[cf7mls_step cf7mls_step-1 "Next" ""]
Emotional Mood
How often do you feel nervous before a game? (1 = Never, 5 = Always)
1
2
3
4
5
How often do you feel in control of your emotions during a game? (1 = Never, 5 = Always)
1
2
3
4
5
[cf7mls_step cf7mls_step-2 "Back" "Next" "Step 2"]
Psychology
How often do you set goals for yourself before a game? (1 = Never, 5 = Always)
1
2
3
4
5
How often do you have negative thoughts or distractions on the course? (1 = Never, 5 = Always)
1
2
3
4
5
How often do you focus on the shot process instead of the score? (1 = Never, 5 = Always)
1
2
3
4
5
Have you worked with a golf psychologist or mental coach before?
yes
no
How much do you think the golf psychologist or mental coach helps your game? (1 = Never, 5 = Always)
1
2
3
4
5
[cf7mls_step cf7mls_step-3 "Back" "Next" "Step 5"]
Nutrition:
How often do you eat before playing golf? (1 = Never, 5 = Always)
*
1
2
3
4
5
Do you prefer certain types of food or diets before playing golf?
High-carbohydrate
Low-fat
High-protein
Low-carbohydrate
fruits
vegetables
Fast food
Processed snack
Sweets
Caffeinated drinks
Others
Do you track your calorie intake and nutrient ratios? (1 = Never, 5 = Always)
*
1
2
3
4
5
How would you rate the overall quality of your diet today? (1 = very poor, 5 = excellent)
*
1
2
3
4
5
How many servings of fruits and vegetables did you consume today? (1 = none, 5 = 5 or more servings)
*
1
2
3
4
5
How satisfied are you with your water intake today? (1 = very unsatisfied, 5 = very satisfied)
*
1
2
3
4
5
How often did you consume high-fiber foods today? (1 = not at all, 5 = with every meal)
*
1
2
3
4
5
How often did you limit your intake of unhealthy snacks and processed foods today? (1 = not at all, 5 = Always)
*
1
2
3
4
5
[cf7mls_step cf7mls_step-4 "Back" "Next" "Step 7"]
Sleep:
How often do you have trouble falling asleep or staying asleep before a round of golf? (1=Never, 5=Always)
*
1
2
3
4
5
How would you rate the quality of your sleep last night? (1 = very poor, 5 = excellent)
*
1
2
3
4
5
How many hours of sleep did you get last night? (1 = less than 5 hours, 5 = 8 hours or more)
*
1
2
3
4
5
How easy was it for you to fall asleep last night? (1 = very difficult, 5 = very easy)
*
1
2
3
4
5
How many times did you wake up during the night? (1=0, 5=5 & up)
*
1
2
3
4
5
How refreshed did you feel upon waking up this morning? (1 = not refreshed at all, 5 = very refreshed)
*
1
2
3
4
5
Do you think your sleep quality affects your golf performance? (1= Not at all, 5=Absolutely)
*
1
2
3
4
5
[cf7mls_step cf7mls_step-5 "Back" "Next" "Step 9"]
Practicing:
What is your current training routine?
Golf practice only
Cardiovascular exercise only
Combination of golf practice cardiovascular exercise
strength training
Combination of golf practice and strength training
Other
How many hours per week do you practice golf?
Less than 5 hours
5-9 hours
10-15 hours
16-20 hours
21-30 hours
31-39 hours
More than 40 hours
Do you have a set practice routine or schedule?
Yes
No
Do you practice more often on the course or the driving range?
*
Course
Driving range
About equal
How often do you use training aids for your practice? (1=Never; 5=Always)
*
1
2
3
4
5
How many hours per week do you work on the following clubs?
Driver (hours)
Woods/Hybrid (hours)
Irons (hours)
Wedges (hours)
Chipping/Pitching (hours)
Putting (hours)
Select the golf club you use most often:
Driver
Fairway or Woods
Hybrid
4 iron
5 iron
6 iron
7 iron
8 iron
9 iron
Pitching Wedge
Gap Wedge
Sand Wedge
Lob Wedge
For putting, how many hours per week do you spend practicing the following putts:
10 feet and in (hours)
10 feet and above: (hours)
*
How often do you make the following putts:
6 feet and in: (%)
6-15 feet: (%)
*
Over 15 feet: (%)
How many 3-putts do you have per round average:
[cf7mls_step cf7mls_step-6 "Back" "Next" "Step 6"]
Training:
How often do you strength train?
*
Never
Rarely
Sometimes
Often
Always
How often do you feel fatigued after walking and playing 18 holes? (1 = Never, 5 = Always)
*
1
2
3
4
5
What types of strength training do you do?
*
Bodyweight exercises
Weightlifting
Resistance bands
Other
Do you work with a personal trainer or strength coach?
Yes
No
What is your average carry distance for 7 iron? (Yards)
What is your average swing speed for the Driver ? (Mph)
*
What is your average carry distance for the Driver? (Yards)
*
[cf7mls_step cf7mls_step-7 "Back" "Step 7"]
×
Page load link
Go to Top
