Frederickson Custom Clubs - Online Fitting Form

When you fill out this online fitting form, please answer all the questions to the best of your ability and please be honest with information such as yardage, distance, clubhead speed etc. From the information provided on this fitting form I will supply a fitting recommendation and options to you prior to ordering.

**NOTE: swing speed and tempo are two very important factors in shaft selection. If you can -- have your clubhead speed measured with both your driver and your five iron.

I will call to discuss your info with you upon receipt of form.

1.)  Fill Out Form Online - Then Print It  

2.)  Fax form to 702-293-4832  -OR-

3.)  Mail to:  Frederickson Custom Clubs  1400 Elsa Way  Boulder City, NV  89005

-OR-

4.)  CALL ME - We'll discuss your info and I'll write it down over the phone while we talk about your golf game!  Direct line 702-374-7232 (ask for Deron).

Golfer's Profile

MaleFemale
Name:
Address:
City:
Zip/Postal Code:
Home Phone:
Work Phone:
Fax Number:
Email Address:
Correspondence method preferred: Email PhonePost
Age:
Height: ft. in.
Weight: lbs.
Right HandLeft Hand

Glove Size: See Diagram

inches

Measure distance from first crease at base of wrist when standing erect (in street shoes)

Do you have any physical problems (ie. lower back pain, arthritis, etc.)

 
Game Profile

Handicap or Average score 18

How many years playing?
How many rounds per week?
How often do you practice?
Average number of putts per round:
Are you taking lessons? YesNo
If Yes, what problems or swing changes are you working on? Please explain:
Do you have a budget for new clubs?
Irons: Woods: Other:

Your Current Golf Clubs

Fairway Woods:

Brand:
Set make up (1.3.5. etc.):
Length Of Longest Fairway Wood:

Driver:

Make:
Length:
Loft:
Shaft flex:
Shaft material:

Irons:

Brand:
Set make up (3-9 , p.w. etc. ):

Length 5 iron:
Loft:
Shaft flex:
Shaft material:

What is your favorite club? Wood Iron
What is your least favorite club? Wood Iron
What is your current drive distance? yds.
What is your 5 iron distance? yds.
What is your club head speed? 5 iron driver
What is your drive trajectory? too high too low normal
Would you like to hit your driver higher lower longer straighter
What is your iron trajectory? too high too low normal
Would you like to hit your irons higher lower longer straighter
What is your swing path? inside-outoutside-inon-line
What is your swing tempo? very slowaveragefastvery fast 

Your driver shot pattern (see chart above): 

Your fairway wood shot pattern (see chart above): 

Your hybrid/long iron shot pattern (see chart above): 

Your mid iron shot pattern (see chart above): 

Your short iron shot pattern (see chart above): 

New Club Preference

Woods:

Model (if known):
or type: wood metal titanium maraging steel other
Shaft: steel graphite other (specify)
Set make up (ie. 1.3.5.etc)
Irons:
Model (if known):
or type: forged cast maraging multi metal other
Shaft: steel granite other (specify):

Other Specs if Known

If clubs are being made to your specs please provide the following:

Shaft flex: LARSX

Club length: Driver 5 Iron:
Frequency Check: Yes No
Spline Aligned: Yes No
Grip size:
Grip Type:

Swing Wt.
Lie/Loft (ie. 1 degree flat, 1 degree strong)

Other Information

 Please provide any other information that would assist us in fitting your clubs: