Note: Items marked * are required fields
Your Information
* First Name
Middle Initial
* Last Name
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Address 2
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Please Answer All Questions
Do you own a guitar?
Yes
No
How long have you been
playing guitar?
Never played
Less than a year
1-2 years
3-4 years
more than 5 years
What is your skill level?
Beginner
Intermediate
Advanced
What kind of guitar do you play?
Do you play any other instruments?
Yes
No
If Yes, which instruments?
Do you own an amplifier?
Yes
No
Do you own a guitar tuner?
Yes
No
Do you have your own transportation?
Yes
No
Are you presently taking lessons with another guitar instructor?
Yes
No
If Yes, please list any complaints that you have with your current instructor:
Please list all guitar instructors and music schools that you have studied from:
Please list all guitar instruction materials and methods that
you have studied from:
Can you read guitar tab?
Yes
No
Can you sight read music?
Yes
No
Do you know any music theory?
Yes
No
How did you get interested in the guitar?
If you already play guitar, how often do you practice on a weekly basis?
What do you want to accomplish
and what are you goals?
How long do you intend on taking guitar lessons for?
4 months
8 months
12 months
more than 12 months
From 1 to 5 How serious are you about taking guitar lessons?
5
4
3
2
1
Please list what styles of
music you like or listen to:
List your top 10 favorite bands:
List 10 songs you want to learn.
List your top 10 favorite guitar players:
What day and time would be good for you to take guitar lessons on a weekly basis?
How did you find out about Eric Mantel's guitar instruction service?
Yellow Pages Book
Yellow Pages ON-LINE
Internet
The Illinois Entertainer
Boy Scouts
Marcus Cinema Theater
Guitar Center
GetLessonsNow.com
Student Referral
Word of Mouth
Other