Questionnaire A little about you! Please fill out the form below. Your name Your email What are your favourite kinds of music? Examples- Pop, Rock, Rap, Punk What is your favourite band or singer? What is your preferred instrument? Examples- Guitar, Drums, Piano, Bass, Vocals Do you have any experience playing instruments? Tell us about it (or not!) Time commitment: More than 1 hour for 8 weeks? Year round? Other? Are you comfortable working in a Band of up to 5 people? Are you comfortable being on stage or on screen in front of an audience? What do you hope to achieve by participating in the program? E.g- Meeting new people, self expression, writing songs Do you have any health conditions that the facilitators should be aware of? E.g- Seizure disorders, anxiety, light or sound sensitivity Ask your own questions here. (optional)