Potential Client Questionnaire
Thanks for your interest in voice lessons with me! This questionnaire will take about 15-20 minutes to fill out.
All answers are confidential, as are any conversations we may have in your sessions.
Please select who is answering the questions.
The client's guardian
Client's Preferred Gender Pronoun
Which studio location is best for you? (I'm not accepting new students in Marietta...only Columbus and online.)
What are your primary goals for voice lessons?
How confident do you feel about your voice when you sing?
I hate the sound of my voice and I have no confidence that it will do what I want it to do.
I love the sound of my voice and I know it will do what I need it to do almost all of the time.
What do you like most about your voice?
What do you want to change about your voice?
Any previous voice lesson experiences you want me to know about?
How many days per week do you anticipate being able to work on your voice outside of lessons?
Please let me know if you experience any of the things below.
Scratchy, low, or gravel-y voice in the morning
Constant need to clear throat
Loss of voice when not sick
Inability to sing/speak loudly
Voice starts out fine, but gets tired or gives out quickly
Burning in the throat area
Smoke (either tobacco or marijuana) regularly
Live in a smoker's house
Work regularly in environments with smoke or strong chemical fumes
Take medication regularly
Recent voice change
Pain in my throat when singing
Pain in my throat when speaking
Pain in my throat when not singing or speaking
Pain in my body on a regular basis
Do you currently sing in public?
Page 1 of 4
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service