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, band, 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 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 favorite classical music 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 Blues Stevie Wonder Stevie Wonder Muddy Waters The Temptations Otis Redding Stevie Ray Vaugn Diana Ross / Supremes Al Green Blues Traveler Jackson 5 Marvin Gaye BB King The Commodores Gladys Knight T Bone Walker Smokey Robinson Lionel Richie John Lee Hooker The Marvelettes Arethra Franklin Isley Brothers Ray Charles The Four Tops Etta James The Stylistics James Brown Reggae The O'Jays Sam Cooke Bob Marley The Spinners Etta James Toots & the Mayals The Miracles Luther Vandross UB40 Martha reeves Mariah Carey 50's Crooners Fabulous 50'S 60's Rock Frank Sinatra Buddy Holly Buffalo Springfield Dean Martin Chuck Berry Forrest Gump Soundtrack Sammy Davis Jr. Roy Orbison The Big Chill soundtrack Johnny Mathis Elvis Presley Creedence Clearwater Revival Harry Connick Jr Frankie Valli Three Dog Night Tony Bennet Jerry Lee Lewis The Guess Who Tommy Dorsey Hernan's Hermits Rolling Stones Nat King Cole The Platters Simon & Garfunkel Perry Como Bill Haley & Comets Beach Boys Tom Jones Ricky Nelson The Hollies Bobby Darin Fats Domino Blood, Sweat and Tears Little Richard Beatles Eddie Cochran The Rascals Bo Didley The Duprees Chubby Checker Disco / Funk (70's) 70's Rock 80's Pop Rock Donna Summer Alman Brothers Madonna Bee Gees Steve Miller Band Michael Jackson Michael Jackson Fleetwood Mac Prince Kool & Gang Steely Dan Melissa Etheridge Rick James Eagles Chicago Electric Light Orchestra Jefferson Airplane Elton John Billy Joel Neil Young Crosby, Stills, Nash Queen Notes: ________________________________________________________ Music Genre Artist Preference Name: _______________________Date:__________________ 20's / 30's Easy Listening Smooth Jazz Cole Porter Burt Bacharach Kenny G Ethel Merman Engelbert Humperdinck Vince Guaraldi George Gershwin Rosemary Clooney Dave Koz Barry Manilow Grover Washington Jr Andy Williams Chris Botti Glen Campbell George Benson Folk Neil Diamond Chuck Mangione Joan Baez Barbara Streisand Herb Albert Bob Dylan Peggy Lee Boney James Judy Collins The Four Lads Peter, Paul & Mary Les Paul & Mary Ford Mamas & Papas Carpenters Scott MacKenzie Gene Pitney Anne Murray Movie Sountracks Big Bands / Swing Broadway Musicals Forrest Gump Benny Goodman Cabaret The Big Chill Glenn Miller Carousel Wizard of Oz Artie Shaw Anything Goes To Sir with Love Guy Lombardo South Pacific Out of Africa Les Brown Annie Chariots of Fire Eddy Duchin The Music Man Star Wars Duke Ellington West Side Story Superman Woody Herman Gypsy Grease Count Basie Camelot Saturday Night Fever Andrews Sisters Lion King Titanic Tommy Dorsey Phantom of Opera Dirty Dancing Billy Eckstine Les Miserables Sound of Music Cats Jesus Christ Superstar Oklahoma Hello Dolly My Fair Lady Country Oldies Country Contemp Sunset Boulevard Johnny Cash Garth Brooks Chicago Loretta Lynne Clint Black A Chorus Line Conway Twitty Dwight Yoakam Mary Poppins Charlie Rich Brad Paisly Willie Nelson Alabama Dolly Parton Blake Shelton Kenny Rogers Tim McGraw Merle Haggard Carrie Underwood Hank Williams Shania Twain Tammy Wynette Toby Keith Patsy Cline Dixie Chicks John Denver Lee Ann Rhimes George Jones Notes: ________________________________________________________ Music Genre Artist Preference Name: _______________________Date:__________________ JAZZ Vocal JAZZ Instrmtl Ragtime Nina Simone Miles Davis Scott Joplin Billie Holiday Wynton Marsalis Tom Turpin Bobby McFerrin John Coltrane Scott Hayden Edith Piaf Louis Armstrong Artie Matthews Melody Gardot Quincy Jones Louis Chauvin Liza Minelli Duke Ellington Trebor Tichenor Ella Fitzgerald Count Basie Louis Armstrong Manhattan Transfer New Orleans Jazz Dave Bartholomew Classical Opera Piano Beethoven Andrea Bocelli Liberace Bach Pavorotti Vladamir Horowitz Mozart Maria Calais Glenn Gould Chopin Rachmaninov Vivaldi Arthur Rubinstein 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: ________________________________________________________.