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I'm excited to see you soon!

 

Anjanette Mickelsen

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Question 2 of 26

Name (First and Last Name)

Question 3 of 26

Phone Number

 

(555) 555-5555

Question 4 of 26

Age

Question 5 of 26

Birthday

 

(MM/DD/YYYY)

Question 6 of 26

Parent or Guardian Name (if client is younger than 18)

 

Write N/A if it doesn't apply

Question 7 of 26

Phone Number of Parent or Guardian (if applicable)

 

Write N/A if it doesn't apply

LET ME GET TO KNOW YOU BETTER!

Singing History & Goals

 

I'm looking forward to getting to know you better in private sessions, and this survey will give me a headstart.

 

*Please know that all answers are confidential and private, and will only be seen by me. If there are any questions you don't want to answer, fill out N/A or select NONE APPLY. Thank you for helping me coach you better!*

Question 9 of 26

Expertise Level:

 

Do you consider yourself...

 

(Select all that apply)
A

Beginner

B

Intermediate

C

Advanced

D

Professional

E

None Apply

Question 10 of 26

What genre(s) of music are you interested in?

 

(Select all that apply)
A

Pop

B

Musical Theater

C

Rock

D

R&B

E

Soul

F

Gospel

G

Funk

H

Country

I

Adult Contemporary

J

Jazz

K

Classical / Opera / Pop Opera

L

Inspirational

M

Religious

N

Singer / Songwriter

O

Voice Acting

P

Public Speaking

Q

NONE APPLY

Question 11 of 26

Name some of your favorite artists, bands, groups, musicals, etc.

 

(Please write your answer)

Question 12 of 26

What are some things you want to change or improve in your voice?

 

(Select all that apply)
A

Sing through my break / bridge / passaggio

B

Range

C

Power / intensity

D

Stamina / Endurance

E

Tone of my voice

F

Pitch

G

Vibrato

H

Dynamics

I

Style

J

Falsetto

K

My voice tends to be breathy / light / run out of air

L

My voice tends to be strained / tight / tense

M

My voice tends to be crack / flip when I don't want it to

N

Understand what my voice is / Voice Classification

O

Singing in different genres of music

P

Adding different colors and textures to my voice

Q

My voice tends to get nasal

R

NONE APPLY

Question 13 of 26

What skills are you interested in learning, improving, or mastering?

 

(Select all that apply)
A

Acapella

B

Background Vocals

C

Audition Prep / Technique

D

Choir Singing

E

Chords / Chord Theory

F

Contemporary Guitar

G

Contemporary Piano

H

Ear Training

I

Harmonies

J

Licks & Runs

K

Music Business

L

Public Speaking

M

Sight Singing

N

Singing in a Band

O

Social Media Artist

P

Song Arrangement

Q

Songwriting

R

Stage Performance

S

Studio Singing

T

Royalties / Publishing / Intellectual Property

U

Jazz Scatting

V

Voice Acting / Voice Over

W

Voice Classification / Understanding what my voice is

X

NONE APPLY

Question 14 of 26

What experience do you have with singing, singing training, voice acting, or public or professional speaking?

 

(Please write your answer)

Question 15 of 26

What are your singing or speaking goals?

 

(Please write your answer)

Question 16 of 26

What have you done to accomplish your goals?

 

(Please write your answer)

Question 17 of 26

What is holding you back from accomplishing your goals?

 

(Please write your answer)

Question 18 of 26

Do you have any medical issues that could affect your singing?

 

*** Disclosure of any medical information or history is voluntary, and optional. Any disclosures are confidential and secured information. If you don't want to disclose this information, click on NONE APPLY *** 

 

(Select all that apply)
A

Heartburn / Acid Reflux / GERD

B

Allergies

C

Asthma

D

Chronic Cough

E

Chronic Phlegm or Mucus

F

Granuloma

G

Hearing Impairments

H

Jaw Issues / TMJ

I

Sinus Issues

J

Tonsils Removed

K

Trouble Swallowing

L

Vocal Cyst

M

Vocal Hemorrhage

N

Vocal Nodes or Nodules

O

Vocal Dysphonia

P

Vocal Polyps

Q

NONE APPLY

Question 19 of 26

List any other medical issues that I should be aware of:

 

Also list any vocal surgeries and therapies you've been treated for. Please give details. ***

 

*** Disclosure of any medical information or history is voluntary, and optional. Any disclosures are confidential and secured information. If you don't want to disclose this information, write N/A *** 

Client Policies Agreement

You're almost done!

Please read and click on the "I agree to this policy" button for each policy.

If you have any questions or concerns, about any policy, feel free to reach out to me.

Thank you!

Question 21 of 26

24 HOUR CANCELLATION POLICY:

 

Lessons must be cancelled or rescheduled 24-hours in advance; otherwise lesson time will be charged/forfeited regardless of attendance. This policy is in force, with exceptions of extreme illness or emergency (to be judged per situation). If lessons are properly cancelled, a make-up lesson may be scheduled. For situations of true sickness or emergency, notice must be given AS SOON AS POSSIBLE so adjustments to the schedule can be made. If proper notice is not given that students will not be in attendance for two weeks or more, the student may be dismissed.

A

I agree to this policy

Question 22 of 26

PAYMENT FOR LESSONS: 

 

Lessons must be paid in advance, or at the beginning of the lesson. If lessons are not paid on time, a $25.00 late fee will be added to charges for lessons. If students’ bill and added late fee are not paid, the student may be dismissed. If after a period of 45 days payment has not been received, then the issue will be taken to a collection agency, where the collection agency fee will be added to the student’s bill.

A

I agree to this policy

Question 23 of 26

IT'S THE STUDENTS RESPONSIBILITY TO CANCEL LESSONS THAT ARE SCHEDULED ON HOLIDAYS:

 

Prior notice will be given when Singing Pro Studios is closed due to holidays or special events. Otherwise, assume that the students’ lesson will be held as usual. If the student wishes to move or cancel their lesson due to holidays or special events, please refer to the 24 Hour Cancellation Policy.

A

I agree to this policy

Question 24 of 26

TARDINESS:

 

When students schedule a lesson time, the student is paying for that time (professional time) and not minutes into the next lesson time. It is the student’s responsibility to plan for traffic, or any other conditions that would cause you to be late. Please be on time out of respect for The Singing Pro Studio and its' students.

A

I agree to this policy

Question 25 of 26

IT'S THE STUDENTS RESPONSIBILITY TO SEEK OUT COMPETENT MEDICAL ADVICE AND TREATMENT

 

The Singing Pro Inc. and its staff are not medical professionals and cannot give medical advice or treatment. It’s the students responsibility to seek out competent medical advice and treatment.

A

I agree to this policy

Question 26 of 26

I, the student or parent/guardian of the student, have read and understood the Singing Pro Studio policies, and will conduct business accordingly.

A

I understand and agree to these policies

Confirm and Submit