Ukulele Student Intake Form
Welcome! This quick form helps me understand where you’re starting from so I can tailor your lessons to suit you. There are no right or wrong answers.
About You
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Mobile (optional)
Please include your country code if outside Australia
Have you played any instrument before?
*
No – brand new
Yes – a little
Yes – quite a bit
If yes, what did you play?
Ukulele So Far
How would you describe yourself?
*
Just bought a ukulele
Know a few chords
Can play a couple of songs
Somewhere in between
Can you change between two chords comfortably?
Yes
Not yet
Sometimes
What feels strongest at the moment?
Strumming
Fingerpicking
Picking single notes or riffs
Not sure yet
Completely new
What You’d Love
What would you most like to be able to do?
*
Play and sing
Play for myself at home
Jam with friends
Learn fingerpicking
Build confidence
In your own words, what would feel like progress for you?
Comfort
Any finger, wrist or shoulder discomfort?
Yes
No
If yes, please share details (optional)
Anything else you’d like me to know?
Submit
Should be Empty: