Student ID number:

Email Address:

Name:

Sex:
Male Female

Age:
10-15 15-20 20-25 25-30 30-35 35-40 40-45 45-50 50-55 55-60 Over 60

Height:

Weight:

Playing goals

Career goals

Perfect gig

Describe your level of playing:
Beginner High School College Professional

Describe your type of playing:
Concert Band Orchestral Jazz Band Lead Player Jazz Improv.

Do you currently study privately?
Yes No

If yes, who are you studying with?

Have you studied the trumpet in college?
Yes No

How many days per week do you practice?
1 2 3 4 5 6 Every day!

When you practice, how many hours do you get in?
15 min. 30 min. 1 hour 2 hours 3 hours 4 hours more

What make and model of trumpet do you play?

What make and model mouthpiece do you play?

What is the rim diameter size? (Bach comparison)
Larger than Bach 1 Bach 1 Bach 1 1/4 Bach 1 1/2 Bach 2 Bach 3 Bach 5 Bach 7 Bach 10 1/2 Smaller than Bach 10 1/2

Lip thickness Explanation
Thin Medium Thick

Teeth contour: Explanation
Flat Overlapped Wedged Inverted wedge

Tooth length: Explanation
Short Average Long

How is your endurance?
Good Decent Poor

When fatigued, where do you feel tired the most?
Lip tissue Corners of mouth Diaphragm Lower Back Other

What is your highest hittable note? Explanation
Lower that C in the staff C in the staff G on top of the staff High C D above high C E above high C F above high C G above high C A above high C B above high C Double high C Higher than double high C

What is your highest playable note? Explanation
Lower that C in the staff C in the staff G on top of the staff High C D above high C E above high C F above high C G above high C A above high C B above high C Double high C Higher than double high C

What (if any) breathing technique do you use while playing the trumpet?

How do you take in a breath?
Chest Diaphragm Yoga Wedge Other

If other, please explain:

When you exhale while playing, what technique (if any) are you using?
Chest Diaphragm Elastic recoil Yoga Wedge Other

Are you able to get in a large quantity of air?
Yes No

Are you able to produce a powerful exhale when needed?
Yes No

Describe your sound.
Quality
Good Bad OK Poor
Center
Very centered Centered Lacks center No center
Tone
Bright Dark Average

As you ascend, your sound:
Gets brighter Stays the same Spreads out

At the very top of your range, your range:
Cuts out abruptly Tapers off Fades out

How much mouthpiece pressure do you use in the upper register?
None A little A lot As much as possible

Where do you place the inside rim of the mouhpiece while playing?
Above the pink In the pink

As you crescendo, your sound:
Gets brighter Stays the same Spreads out
Does not change Goes flat Goes sharp

As you decrescendo, your sound:
Gets brighter Stays the same Spreads out
Does not change Goes flat Goes sharp

As you ascend, which syllable do you use?
AHH None EEE Other

As you descend, which syllable do you use?
AHH None EEE Other

As you ascend, which way does your horn pivot or move?
Down Up Does not move
Left Right Does not move

As you descend, which way does your horn pivot or move?
Down Up Does not move
Left Right Does not move