Senior Living Music Selection Survey
Help us understand your music preferences to enhance your experience in our community.
Resident Full Name
*
First Name
Last Name
Room Number
*
How do you prefer to listen to music?
*
Live performances
Radio
CDs or records
Streaming (e.g., Spotify, YouTube)
Other
Which music genres do you enjoy? (Select all that apply)
*
Classical
Jazz
Rock & Roll
Country
Pop
Folk
Religious/Spiritual
Other
Please list your favorite artists or songs.
When do you most enjoy listening to music?
Morning
Afternoon
Evening
During meals
During activities
No preference
How interested are you in participating in group music activities (such as sing-alongs or concerts)?
*
1
2
3
4
5
How much does music improve your mood?
*
Not at all
1
2
3
4
Very much
5
1 is Not at all, 5 is Very much
How often do you listen to these types of music?
*
Rows
Never
Sometimes
Often
Classical
1
2
3
Jazz
4
5
6
Rock & Roll
7
8
9
Country
10
11
12
Pop
13
14
15
Folk
16
17
18
Religious/Spiritual
19
20
21
What music reminds you of your youth or brings back special memories?
Do you have any suggestions for music events or new music you would like to hear?
Any additional comments or requests?
Submit Survey
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