Wufoo

Name * First Last
Instrument *
Email *
Cell Number * ### - ### - ####
Describe the troubles you are encountering with playing, marching, music, adjusting the scheduling etc. *
Please list times that are convenient for you to work with your mentor. *

Evaluate the following statements. *
	Strongly Disagree	Disagree	Agree	Strongly Agree
I stuggle with fingerings.	1	2	3	4
I struggle with scales.	1	2	3	4
I need help with rhythm.	1	2	3	4
I need a practice buddy.	1	2	3	4
I'm looking for someone to play more challenging music with.	1	2	3	4
I'm struggle with organization..	1	2	3	4
I struggle with marching and playing.	1	2	3	4