New Student Questionnaire

Dear Families,

This quick questionnaire helps me make sure students are placed in the right class or course according to their age, experience, goals, and interests! Thank you for taking the time to fill it out! Please let me know if you have any questions!

Best wishes,
Mr. Zach 🎵

Click the button below to start.


Question 1 of 13

What is your name? (Parent/Guardian)

Question 2 of 13

What is your students name?

Question 3 of 13

What grade is your child in this year?

Question 4 of 13

Have you had any classes with Mr. Zach before? If yes, what type and for how long?

Question 5 of 13

When it comes to learning music...:

(Select all that apply)

FUN matters most! We want to learn the FUNNEST possible music in the FUNNEST possible classes!


ACHIEVEMENT matters most! We want to maximize our full potential while enjoying the process.


EXPOSURE matters most! We are looking for a well-rounded learning experience that gives our child exposure to the arts.

Question 6 of 13

Do you need or want help setting up or purchasing an instrument?

(Select all that apply)

Yes, some guidance would be helpful!


No thanks, we're all set!

Question 7 of 13

Which best describes your student's experience level?

(Select all that apply)

Brand New


Beginner: Songs for 1 hand only.


Intermediate: Simple songs with both hands


Advanced: Complex songs with both hands

Question 8 of 13

Which kinds of learning services are you interested in?

(Select all that apply)

Live, Interactive Zoom Classes


Virtual Courses with Recorded Lessons


Virtual Courses with Recorded Lessons + Personal Progress Evaluations


Seasonal Piano Camps / Special Educational Events


Private Lessons

Question 9 of 13

Please describe your availability for things like live meetings and classes.

Question 10 of 13

What is your email and/or phone number?

Question 11 of 13

Do prefer communication by email or phone?

Question 12 of 13

What is your timezone? (Pacific, Mountain, Central, Eastern, British, etc.)

Question 13 of 13

Please share anything else you'd like that might be helpful and what would make this a GREAT experience for you and your student! Thank you! I'll be in touch shortly!

Confirm and Submit