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MUSIC AND MEMORY

Music Assessment Questionnaire

Listener’s Name:______Age:_____ Date: ______

Where did you grow up?______Native Language: ______

Do you have a favorite 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 favorite performer, group, , orchestra?______

Did you sing at religious services?______

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

Favorite hymns or other religious music?______

Did you enjoy going to Broadway shows or musicals? ______

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

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

Do you like to dance?______What type of dance?______(i.e., salsa, ballroom, swing, , square dance, polka, line)

Do you have a favorite composer?______

What songs did you dance to at your wedding? High school prom?______

Were you in the armed services? ______What branch, years and where did you serve?______

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

Where can I find them? ______

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

Other Notes: ______

Music Genre Artist Preference

Name: ______Date:______

Motown R&B / Soul Stevie Wonder Stevie Ray Vaugn / Supremes Blues Traveler Jackson 5 BB King The Commodores T Bone Walker The Marvelettes Arethra Franklin Isley The The O'Jays The Spinners Etta James Toots & the Mayals UB40 Martha reeves Mariah Carey

50's Crooners Fabulous 50'S 60's Rock Forrest Gump Sammy Davis Jr. The Big Chill soundtrack Creedence Clearwater Revival Harry Connick Jr Three Dog Night Tony Bennet The Guess Who Hernan's Hermits Rolling Stones Simon & Garfunkel & Comets Beach Boys Tom Jones Blood, Sweat and Tears Beatles Bo Didley The Duprees

Disco / (70's) 70's Rock 80's Pop Rock Alman Brothers Band Michael Jackson Kool & Gang Melissa Etheridge Eagles Crosby, Stills, Nash Queen Notes: ______Music Genre Artist Preference

Name: ______Date:______

20's / 30's Smooth Jazz Ethel Merman Engelbert Humperdinck Vince Guaraldi Dave Koz Barry Manilow Grover Washington Jr Andy Williams Chris Botti Folk Chuck Mangione Barbara Streisand Herb Albert Judy Collins The Four Lads Peter, Paul & Mary & Mary Ford Mamas & Papas Carpenters Scott MacKenzie Anne Murray

Movie Sountracks Big Bands / Swing Broadway Musicals Forrest Gump The Big Chill Carousel Wizard of Oz Anything Goes To Sir with Love Guy Lombardo South Pacific Out of Africa Annie Chariots of Fire Eddy Duchin The Music Man Star Wars West Side Story Superman Gypsy Camelot Saturday Andrews Sisters Lion King Titanic Tommy Dorsey Phantom of Opera Dirty Dancing Les Miserables Sound of Music Cats Jesus Christ Superstar Oklahoma Hello Dolly My Fair Lady Country Country Contemp Sunset Boulevard Chicago Loretta Lynne A Chorus Line Dwight Yoakam Brad Paisly Alabama Tim McGraw Shania Twain Toby Keith Dixie Chicks John Lee Ann Rhimes Notes: ______Music Genre Artist Preference

Name: ______Date:______

JAZZ Vocal JAZZ Instrmtl Tom Turpin Bobby McFerrin Scott Hayden Edith Piaf Artie Matthews Gardot Louis Chauvin Liza Minelli Duke Ellington Trebor Tichenor Count Basie Louis Armstrong Manhattan Transfer

New Orleans Jazz

Classical Opera Beethoven Bach Pavorotti Vladamir Horowitz Mozart Maria Calais Chopin Rachmaninov Vivaldi Brahms Vince Guaraldi Tchaikovsky Stravinsky

Chorale Gospel Christian Hymns Chanticleer Robert Shaw Eric Whitacre

Patriotic Marchs / Military My Country Tis of thee Home On The Range American the beautiful Star Spangled Banner

More Notes:

Notes: ______