4 Giffords Lane, Staten Island NY 10308
Monday-Friday: 12:00 P.M. - 7:00 P.M. Saturday & Sunday 9:30 A.M. - 3:00 P.M.
718 569 0242

Parent Questionnaire

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718 569 0242
Monday-Friday: 12:00 P.M. - 7:00 P.M. Saturday & Sunday 9:30 A.M. - 3:00 P.M.

Our teachers at RockStars Rising realize we are all unique in our own way. To better get to know your child, we have come up with a questionnaire to get to know your child’s needs. Please take a moment to fill out the form so we can prepare our lessons and give your child the most incredible experience possible.


Type of music your child likes [Select all that apply]
RockPopHeavy MetalBluesCountryJazzR&BClassicalReggaeHip HopRap

Instrument or instruments your child love to play?
VocalsGuitarBassDrumsPiano

Would you prefer a male or female instructor?

Sensory issues
LightsSoundsTouch

Is your child a
Visual learnerAuditory learnerRead/Write learnerKinesthetic learner

Does your child learn best with
ColorsNumbersLetters

Social interaction
Likes to be aloneLikes to be with a group

Does your child adapt well to change? I.E. Changing music rooms or instructors?
YesNo

Please Solve:5 + 1 =