Music Assessment Questionnaire

Listener’s Name:

Age

Date

Where did you grow up?

First Language

Do you have a favourite type of music? (use music matrix for examples of genres, try to get as specific as possible)

What music did you listen to when you were young?

Who was your favourite singer, group, band, orchestra?

Did you sing at church/religious services?

What denomination and what part of the country? (i.e., Roman Catholic, Lutheran, Methodist, Baptist, Jewish)

Favourite hymns or other religious music?

Did you enjoy going to Broadway shows or musicals?

Did you have favourite TV shows or movies? (theme songs from shows or movie soundtracks can elicit responses)

Do you remember going to see live music (rock, symphony, ballet, jazz, polka, clubs?)

Do you like to dance?

What type of dance? (i.e., salsa, ballroom, swing, disco, square dance, polka, line)

Do you have a favourite classical music composer?

What songs did you dance to at your wedding? Dances?

If so, what branch, years and where did you
serve?

Do you still have any records, tapes, CDs that were favourites?

Where can I find them?

Can you hum any favourite songs? (can use Shazam to identify the song if you don’t know it)

Other Notes: