Information request form: Our Coaching Services

Please take a little time to fill in this application form. The more information the coach has, the easier it will be for him to set up a training plan or give you a an accurate budget. This program does record your IP address. Note: Information is not recorded permanently, it will be DELETED if you don't become one of my students. chess.clinic is collecting this information with the sole purpose of offering you a better service. We'll never pass this information to any third parties and we'll never use this data to send you publicity of any kind, not even our own!

Name * First Last
Please add your name and surname. Use your real name please.
City and country *

This information is very important as I'll be able to provide more accurate information regarding fees, time schedules, etc.
Email *

I'll need to get back to you, so you must provide your email address!
Confirm Email *

If you made a mistake in the above field, I wouldn't be able to get back to you!
What's your current level? Please mention things such as your rating (local, national and or international), etc. *

The more information the coach has about your current level, the better.
How old are you? *

Basic information
Can anybody else play chess at home? *

Basic information
How many chess books do you have at home? *

Basic information
Have you had a chess coach before? *

Basic information
Have you ever played a chess tournament before? *

Basic information
What operating system do you use on your computer? *
Windows Apple Linux Others
It'll be easier for me to make recommendations if I know what operating system you use. (you can pick more than one if you like)
When you play on-line, which server or servers do you use? (you can pick more than one) *
Lichess ICC Playchess FICS Others
Basic information
Which of the following programs or databases do you normally use? You can pick more than one *
Fritz Rybka Hiarcs Chess Base Another Database A pgn reader
Basic information.
What are your short term goals as a chessplayer? *

This is an important question.
Is there anything else you'd like to ask or comment on? (Optional)

Please use this field to ask any additional questions or provide any comments.
Type the letters you see in the image below.