Therapy Session Music Selection Survey
Help us enhance your therapy experience by sharing your music preferences and feedback.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
How would you describe your current mood?
*
Happy
Calm
Anxious
Sad
Stressed
Other
Which music genres do you prefer during therapy sessions? (Select all that apply)
*
Classical
Jazz
Ambient
Instrumental
Pop
Nature Sounds
Other
Please list any specific songs or artists you would like to hear during your sessions.
How important is music to your therapy experience?
*
Not important
1
2
3
4
Very important
5
1 is Not important, 5 is Very important
Please rate how each type of music affects your mood during therapy.
Rows
Very Negative
Negative
Neutral
Positive
Very Positive
Classical
1
2
3
4
5
Jazz
6
7
8
9
10
Ambient
11
12
13
14
15
Instrumental
16
17
18
19
20
Pop
21
22
23
24
25
Nature Sounds
26
27
28
29
30
Are you open to exploring new music genres during your therapy sessions?
*
Yes
No
Maybe
Which instruments do you find most soothing or enjoyable?
Piano
Guitar
Flute
Violin
Drums
Nature Sounds
Other
Would you like to receive personalized music recommendations for your sessions?
Yes
No
Additional comments or suggestions about music for your therapy sessions
Submit Survey
Should be Empty: