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Thank you for your interest in our research. Please take a moment to answer the questions below.


1. First, tell us a little about yourself:

    Name:
    Street Address:
    City/Town:
    ZIP/Postal Code:
    Country:
    Email Address:
    Phone Number:

2. When were you born?

    Year:

3. Your gender:

    male     female

4. Are you:

    right-handed     left-handed     ambidexterous

5. What languages to you speak?

    First language:
    Second language(s):
    Other languages(s):

6. Have you ever had musical training beyond general music classes in school?

    yes     no

7. If you have had musical training, what instrument(s) do/did you play, for how long, how old were you when you started, and approximately how many hours per week do you currently play/practice?

    Instrument: No. of years: Since age: Hrs/Wk:
    First Instrument:
    Second Instrument:
    Third Instrument:

    Other (please specify):

8. Are you a professional musician?

    yes     no

9. Do you have absolute pitch (perfect pitch)?

    yes     no     maybe     I don't know

10. Are you tone-deaf (unable to sing in tune)?

    yes     no     maybe     I don't know

11. If you are not eligible for our current studies, may we keep your information on file for future studies?

    yes     no





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