Beginning of the Year Dance Survey

What is your first and last name?

Pronouns you identify with (she/her, they/them, he/him, etc.)

What is your email address?

What is your phone number?

What is your address?

Which period do you take dance?

• 2nd Period
• 3rd Period
• 4th Period
• 5th Period
• 6th Period

Parent or Guardian's Name

List any dance or theater experience. Include the amount of time and teacher.

What is your favorite style of dance?

Which style of dance do you think you may struggle with?

• Line Dancing
• Tap
• Jazz
• Ethnic (example: Hawaiian Dance)
• Hip-Hop