Potential Student Questionnaire
A questionnaire for potential students of Troy Anthony Small
Email address *
Name of Potential Student
Your answer
Name of Parent (if student is under age 18)
Your answer
Age of Student *
If under age 18, please submit age
Your answer
Gender (of Student) *
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.
Your answer
Length of Desired Lesson *
What music are you currently listening to?
Your answer
What genres of music do you listen to? (check all which apply)
Who would you tell me is/are your biggest musical influence(s) and why?
Your answer
Why do you want to study music? *
Your answer
Are you interested in studying music academically in college? *
What are your hobbies?
Your answer
Is there anything about yourself you'd like to share? (Please do not respond inappropriately)
Your answer
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