Name

Phone Number

Email Address

Do you/have you ever played other instruments? Do you/have you ever played other instruments? Yes No

What instruments?

Do you read sheet music? Do you read sheet music? Yes No (it's okay if you don't!) Yes, but it's been a while

How would you rate your current skill on the instrument(s)? How would you rate your current skill on the instrument(s)? Beginner (self taught, just starting taking lesson) Intermediate (played for multiples years, played in one or two recitals/concerts) Professional (played for five+ years, played in multiple recitals/concerts/paid gigs) Lapsed (took lessons in grade school, but haven't played in years)

What type of lessons are you interested in? What type of lessons are you interested in? Private (learn one-on-one) Group (Learn with a friend or two and split the cost)

Are you willing to be paired with other students you might not know? Are you willing to be paired with other students you might not know? Yes No Maybe

Do you want 30 minutes of 1 hour lessons? Do you want 30 minutes of 1 hour lessons? 30 minutes 1 hour

How often do you want to meet for lessons? How often do you want to meet for lessons? Once a week Every other week Every month Other (I'll put it in the comment box)

Are you available during any of these time blocks? (Check all that apply.) Are you available during any of these time blocks? (Check all that apply.) Mondays 3pm-4pm Mondays 4pm-5pm Wednesdays 3:30pm-4:30pm Wednesdays 4:30pm-5:30pm Fridays 9am-10am No

When are you available?

Are you an NGU student? (If not, that's okay!) Are you an NGU student? (If not, that's okay!) Yes No

Do you live on campus? Do you live on campus? Yes No

Do you have access to a harp you can practice on? Do you have access to a harp you can practice on? Yes No

Are you willing to rent a harp to practice on? Are you willing to rent a harp to practice on? Yes No

How did you hear about me? How did you hear about me? Social Media Flyer Word of mouth Other

Anything else you want me to know?