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SELF-ASSESSMENT SURVEY:
100 CHALLENGES GOLFERS CAN CONQUER

Instructions:
Click next to each item that applies to you. At the completion, submit the form.




"I look forward to showing you ho
you can reconnect with your
mechanics again.
-Dr. Richard Crowley

 




Excessive time standing over shot
Pulling short putts
Pushing short putts
Replay bad shots in my mind
Have to prove myself
Unable to respond to instructor's advice
Increased practice doesn't improve score
Mechanical difficulties make no sense whatsoever
Easily distracted
Becoming own worst enemy
Swaying back and forth with swing
Moving head down fairway before completing swing
Negative attitude effects game
Stay upset after a bad shot
Pressure meeting expectations
Judging and criticizing self
Velocity decreases at impact
Holding breath during swings/forgetting to breath
Leave putts short
Bothered by embarrassing or humiliating memory
Doubting and second-guessing
Consistently leave putts short
Club doesn't feel comfortable in hand
Anxious hitting to a narrow fairway
Losing distance
First tee jitters
Short-fused
No confidence with long irons shots
Problem focusing and concentrating
Overthinking
Anxiety/nervous
Something negative is always in the back of my mind
Timing is off
Poor tempo
Competition increases problems
Sleeping problems night before event
Feel disconnected
Impatient
Inconsistent
Control issues
Pressure to be perfect
Self-confidence issues
"Forget" putting strategy once on the green
Play well in practice, tense during a round
Think too much about mechanics during the round
Concerned how others perceive my play
Down/depressed
Guiding/pushing the ball
Not following through
Unable to focus on target
Bogey or worse following birdie
Difficulty turning off negative thoughts
Rushing swing
Fear of failure
Feel non-deserving/never good enough
The "Yips"
Trouble with bunker shots
Worrisome/negative self-talk
More protective than aggressive putting
Spraying drives
Slicing
Frustration and anger with self
Hooking
Not paying attention to proper nutrition and exercise before playing
Pulling the ball
Not having fun anymore
Jerking
Not keeping eye on ball
Hard on myself
Intimidated by certain holes/courses
Uncomfortable using fairway woods
Muscle tension
Skeptical about improving
Trouble with lob/pitch shots
Giving up on self
No consistent pre-shot routine
Fear of success
Controlling swing vs. letting it happen
Negative attitude
Rush through or leave out components of pre-shot routine
Nervous when people are watching
Critically compare self to others
Hurried swing/ tightened grip hitting into wind or sun
Too many three-putts
Feels like my play is not connected to my brain
Drive out of bounds followed by second out of bounds or snap hook
Tense shoulders when nervous
Push/pull approach shots
Overanalyzing mechanics
Palpitations and/or butterflies increase during matches
Improvement at practice gets lost during a round
Decelerate vs. accelerate at point of impact
Tendency to focus on where I don't want ball to go
Hesitancy with downhill putts
Envious/jealous of others
Can't visualize trajectory and target location of shots
Worried about upcoming hole(s)
Deceitful with self keeping score/following rules
Chipping inconsistencies
Problem persists in light of sports psychology techniques of motivation, visualization, reviewing video tapes, etc.
Other issues you are personally experiencing:
Please provide the following contact information:
Name:  
Phone:
Email Address:
Address:
City:
State:
Zip:

Contact Dr. Richard Crowley
2701 W. Alameda Avenue, Suite 200
Burbank, CA 91505
818.563.1449

Email: sportsmaker@hotmail.com