Interest Survey

In order to offer you the best lessons to fit your needs, please answer the following questions.

E-mail Address: *

First Name: *

Last Name: *

Phone *

eMail *

Facebook *

Best way to contact * Call Text eMail Facebook

Student's age * 5 or younger 6-9 10-13 14-17 18-25 26-55 55+

Type of Guitar * Acoustic Electric Classical Bass Not sure

Experience * None Beginner Intermediate Advanced

Music Reading Skill * Music staff Guitar tablature Untrained at reading

Preferred Music Styles * ClassicaL Blues Jazz Rock Folk Country Gospel Other

Preferred Frequency of Lessons * More than once per week Once per week 1-2 times per month Not sure Other

Preferred Length of Lessons * 30 minutes 45 minutes 60 minutes Other

Preferred Day(s) for Lessons * Monday Tuesday Wednesday Thursday Friday Saturday Sunday

Preferred Time for Lessons * Early morning (before 9 a.m.) Morning (9 a.m.-noon) Early afternoon (noon-3 p.m.) Late afternoon (3-6 p.m.) Evening (after 6 p.m.)

* Required