Potential Student Questionnaire
A questionnaire for potential students of Troy Anthony Small
Name of Potential Student
Name of Parent (if student is under age 18)
Age of Student
18 or Over
If under age 18, please submit age
Gender (of Student)
Prefer not to say
Preferred Instrument/Study (Check all which apply)
Have you had any prior musical experience?
If yes, please give as much detail, as possible, of your experience.
Length of Desired Lesson
Thirty (30) Mminutes ($30.00 USD)
Forty-five (45) minutes ($35.00 USD)
Sixty (60) minutes ($40.00 USD)
What music are you currently listening to?
What genres of music do you listen to? (check all which apply)
R & B (Contemporary)
R & B (Classic)
West End/Salsoul/Prelude Records
Hip - Hop (Contemporary)
Hip - Hop (Old School '00s)
Hip - Hop (Old School '90s)
Hip - Hop (Old School '80s)
Hip - Hop (Old School '70s)
Who would you tell me is/are your biggest musical influence(s) and why?
Why do you want to study music?
Are you interested in studying music academically in college?
I Don't know
Prefer not to answer
What are your hobbies?
Is there anything about yourself you'd like to share? (Please do not respond inappropriately)
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