Home
Studio Info
General Information
Policies
Location
Prize Cart
About Shelby
Media
Newsletters
Facebook
Instagram
YouTube
Forms
Emergency Contact
Media Release
Student Survey
2023-2024 School Year Lessons
Calendar
Contact
student survey
Please fill out one student survey form per student. For students over the age of 18, please click
here
for the adult student survey.
*
Indicates required field
Student Name
*
First
Last
Date of Birth
*
January
February
March
April
May
June
July
August
September
October
November
December
Month
*
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
*
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
Before 1990
Year
School
*
Grade
*
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Music Lesson Type
*
Piano
Voice
Both
Is the student looking forward to taking lessons?
*
Yes
No
Unsure
Does the student like school?
*
Yes
Certain Classes
No
What subjects does the student like?
*
Math
Science
Reading
Social Studies/History
Art
Music
Physical Education
Technology/Computers
Please select all that apply.
Does the student know how to read?
*
Yes
No
Please list the student's hobbies/interests.
*
What artists or styles of music does your student enjoy listening to?
*
Does the student have any musical experience?
*
Yes
No
If yes, please list the student's musical experience:
*
Does the student have access to a piano or keyboard at home?
*
Yes
No
If yes, what type of piano is it?
Piano Model (if known):
*
Acoustic Piano
Digital Piano (Weighted Keys)
Digital Keyboard
*
Submit
Home
Studio Info
General Information
Policies
Location
Prize Cart
About Shelby
Media
Newsletters
Facebook
Instagram
YouTube
Forms
Emergency Contact
Media Release
Student Survey
2023-2024 School Year Lessons
Calendar
Contact