Name

Address

Email Address

Phone Number

Age

The answers to the following questions will allow me to assess your current level and advise you on how you can move your playing forward.

How long have you been playing for? Less than 1 year 1-2 years 2-3 years 3-4 years 4-5 years 5-6 years More than 6 years

Have you had lessons with a teacher before? Yes No

If yes, was this in a group or one to one? No lessons One-to-one Group lessons

What did you enjoy the most about these lessons?

What did you not enjoy?

Why did you stop lessons?

What are you long term musical goals? E.g. do you want to play in a band, record, tour, play sessions, jam with friends, record your own songs.

What do you think are your current strengths as a player?

What areas do you feel need developing?

If there is one area that I can help you with straight away what would that be?

Who are your favourite bands, players, genres of music or songs?

Have you ever played in a band? Yes No

If not do you ever wish to? Yes No Don't know

How did you find out about me? Select Newspaper Magazine Word of mouth Search engine Other

Is there anything else you wish to tell me relating to music and guitar lessons?