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Customer Intake Form Template

Welcome to [Store Name]!

We’re excited to help you on your musical journey. Please fill out this form so we can provide the best service for your needs.

‍

Personal Information

Name: _______________________________
Phone Number: ________________________
Email Address: ________________________

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Preferences

What instrument are you interested in? (Check all that apply)
[ ] Guitar
[ ] Piano
[ ] Violin
[ ] Drums
[ ] Other: ____________________________

What is your skill level? (Check one)
[ ] Beginner
[ ] Intermediate
[ ] Advanced

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Service-Specific Needs

Are you interested in lessons? (Check one)
[ ] Yes
[ ] No

If yes, what are your goals? (e.g., "Learn my favorite songs," "Prepare for a recital")

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Are you renting an instrument? (Check one)
[ ] Yes
[ ] No

If yes, for how long? (e.g., "1 month," "6 months")

‍

Additional Information

Please share anything else that will help us serve you better:

Thank you for choosing [Store Name]! We’ll be in touch soon to help you get started.

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Focused on Helping Music Stores Grow with Simple, Effective Strategies for Success.

Focused on Helping Music Stores Grow with Simple, Effective Strategies for Success.

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