Music Department Questionnaire

In an effort to learn more about your past musical experiences and help you transition into our school’s music program, we would like all incoming 9th grade students to fill out the following questionnaire.

Name Name First Last
Contact Email
Contact Phone # Contact Phone # - ### - ### ####
Middle School Name
Do you play an instrument(s)?

Do you play an instrument(s)? Yes No
If yes, please list the instrument(s) you play.
How long have you been playing your instrument(s)?
Have you taken or are you currently taking private lessons?

Have you taken or are you currently taking private lessons? Yes No
If yes, for how long?
Have you played an instrument(s), but do not play anymore? Please explain.
Do you own your own instrument(s)?

Do you own your own instrument(s)? Yes No
Do you play by ear or read music?

Do you play by ear or read music? By Ear Read Music
What music classes did you take in middle school?
Are you interested in joining the orchestra, chorus, or jazz band? All of these ensembles are a class and meet during the school day.

Are you interested in joining the orchestra, chorus, or jazz band? All of these ensembles are a class and meet during the school day. Yes No Unsure

If interested in more than one, please rank in order of preference.
	First Choice	Second Choice	Third Choice
Orchestra	OrchestraFirst Choice	OrchestraSecond Choice	OrchestraThird Choice
Chorus	ChorusFirst Choice	ChorusSecond Choice	ChorusThird Choice
Jazz Band	Jazz BandFirst Choice	Jazz BandSecond Choice	Jazz BandThird Choice

Have you sung in a choir?

Have you sung in a choir? Yes No
If so, please describe that experience. How long did you participate? Which section (soprano, alto, tenor, bass) did you sing in?
Have you ever performed in a concert in or out of school? Please describe.