Pre-round Questions

Please tell us about yourself. The more information you provide, the better we'll be able to interact on the golf course. All information is considered private and will not be shared with anyone without your concent.

Basic Information

First name

Last name

Phone

Emergency Contact Information (Name, Phone, Relationship):

Medical History

Have you been formally diagnosed with dementia and if so, what type? What symptoms have you noticed?

Functional Abilities

Can you perform activities of daily living (ADLs) independently? (e.g., dressing, bathing, grooming, feeding) Do you need assistance with mobility? (e.g., walking, using a wheelchair, transfers) Describe any other functional limitations you may have.

Early Life and Background

Tell us a little about yourself: Where were you born? Do you have any nicknames you prefer? Where did you grow up? What schools did you attend? Did you have a particular career or profession?

Golfing Experience

When did you start playing? Do you have a handicap? Do you have a favorite course or do you belong to a club? Do you have a favorite pro golfer or tournament you love to follow?

What else should we know about you?

The more we know about you, the better we can caddie for you on the course.