Rock Doctors New Patient Form
Are you in need of some musical help? Do you need a song to propose to your significant other? Do you need a playlist to help you unwind after a stressful day? Let the Rock Doctors help.
Email address *
Name *
Your answer
Describe the situation you need music for. Be as specific as possible. *
Your answer
Please describe your musical tastes. *
Your answer
Who are some of your favorite artists? *
Your answer
Are there any genres, instruments or musicians you cannot stand to listen to? *
Your answer
Is there anything else we need to know about you? *
Your answer
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