Music for Healing Sign up form (PARTICIPANTS)

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Welcome to the Music for Healing project! Please fill out the following form to help us understand your background, interests, and how we can best support your musical journey and emotional well-being.

Please keep in mind the capacity is 20-30 students

Full name, Age, and Email

Have you played any instruments before? If so, what were they and what is your experience?

Scheduling

What times are you available in a week?

Availability Schedule

9 AM

10 AM

11AM

12 PM

1 PM

2 PM

3 PM

4 PM

5 PM

6 PM

7 PM

8 PM

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Well-Being

At Music for Healing, well-being means promoting emotional and mental health through music, helping participants feel happier, less stressed, and more connected.

Do you currently face any stress or mental health challenges?

Yes

I do not want to reply

Are you comfortable with emotional check-ins during sessions?

Yes

Consent

I agree to participate in the Music for Healing project and understand the commitment involved.

I understand this is a volunteer-based program and not clinical therapy

Submit

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