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Your Information

* First Name
Middle Initial
* Last Name
Address 1
Address 2
City
State
Zip Code
Home Phone
Work Phone
Cell Phone
Cell Phone
Birth Date
Occupation
* Email Address
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Please Answer All Questions

Do you own a guitar?
How long have you been
playing guitar?
What is your skill level?
What kind of guitar do you play?
Do you play any other instruments?
If Yes, which instruments?
Do you own an amplifier?
Do you own a guitar tuner?
Do you have your own transportation?
Are you presently taking lessons with another guitar instructor?
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?
Can you sight read music?
Do you know any music theory?
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?
From 1 to 5 How serious are you about taking guitar lessons?
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?