Piano Lesson Questionnaire




Please complete each question as accurately as possible. I am the only one who will see your answers. The more complete and accurate your answers are, the better I can assess your skill level and develop your Personalized Lesson Plan.



Please note that all fields followed by an asterisk must be filled in.
Complete Beginner
Beginner - (playing less than 1 year)
Intermediate - (playing more than 1 year)
Intermediate - (playing more than 2 years)
Advanced Intermediate - (playing more than 3 years)
Advanced - (playing more than 4 years)
Advanced - (playing more than 5 years)
Classical
Pop/Rock
Jazz/Blues
Rhythm & Blues
Country Rock
Easy Listening Rock
Adult Contemporary
I Want To Play For Personal Enjoyment
I Want To Have Fun Playing With Friends
I Want To Play In A Band
I Want To Earn Money Playing In A Band
I Want To Create A YouTube Piano Channel
I Don't Know Any Chords
Major (i.e. - C)
Minor (i.e. - Cm)
Dominant 7th (i.e. - G7)
Minor 7th (Gm7)
Major 7th (Dmaj7)
Suspended 4th (Fsus)
Diminished (Adim)
Augmented (Baug)
Yes
No
Somewhat
Yes
No
Somewhat
Yes
No
I'm Not Sure What That Is
Yes
No
Yes
No
iPad
Desktop - PC
Desktop - Mac
Laptop - PC
Laptop - Mac
Mobile Phone

Please enter the word that you see below.