Music lessons questionnaire
Questionnaire for us to get to know you and your student(s)!
Your Name
*
First Name
Last Name
Your Email
*
Ex: sing@localvocaltoday.com
Your Phone Number
*
Please enter a valid phone number.
Preferred Contact Method
Please Select
Email
Call/Text
Either
Relationship to Student(s)
*
Please Select
I am the student.
I am the parent/guardian of the student(s).
Other
Student’s Name
*
First Name
Last Name
Student’s Name (second student)
First Name
Last Name
Student’s Birthday
Month
Year
Student’s Birthday (second student)
Month
Year
Choice of Instrument
*
Please Select
Piano
Vocals
Both
Does the student(s) have any prior experience with music (choir, band, lessons, etc.)?
What type of music is the student(s) interested in (pop, soundtracks, rock, etc.)?
Is the student interested in performance opportunities, such as recitals?
Yes
No
Unsure
Additional Comments About Student(s)
Preferred Day for Classes
*
Monday
Thursday
Tuesday
Friday
Wednesday
Preferred Start Date & Time
 -
Month
 -
Day
Year
Hour Minutes
AM
PM
AM/PM Option
Are you interested in a Zoom Trial Lesson? If so, book here.
Submit
Should be Empty: