{"id":3056,"date":"2025-12-22T13:43:58","date_gmt":"2025-12-22T13:43:58","guid":{"rendered":"https:\/\/ilgianderson.com\/?p=3056"},"modified":"2025-12-22T19:34:14","modified_gmt":"2025-12-22T19:34:14","slug":"adult-music-therapy-intake-form","status":"publish","type":"post","link":"https:\/\/ilgianderson.com\/tr\/adult-music-therapy-intake-form\/","title":{"rendered":"Yeti\u015fkin M\u00fczik Terapi Bilgi Formu"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"3056\" class=\"elementor elementor-3056\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-e524054 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"e524054\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-69b87d6\" data-id=\"69b87d6\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-30709cf elementor-widget elementor-widget-text-editor\" data-id=\"30709cf\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Thank you for taking the time to complete this form. The purpose of this form is to gather information about your music preferences, experiences, and comfort levels. This will help the therapist tailor the session to your needs and make your experience more enjoyable and effective.<\/p><p>Please note that all questions are optional. You may choose to answer as many or as few questions as you feel comfortable with. Your responses are confidential and will only be used for therapeutic purposes.<\/p><p>If you have any questions while filling out this form, please feel free to ask.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f1c6d2f elementor-widget elementor-widget-wpforms\" data-id=\"f1c6d2f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"wpforms.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"wpforms-container \" id=\"wpforms-3057\"><form id=\"wpforms-form-3057\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"3057\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/tr\/wp-json\/wp\/v2\/posts\/3056\" data-token=\"ebddea67237a59bfa2321138d62f984f\" data-token-time=\"1776976359\"><noscript class=\"wpforms-error-noscript\">Bu formu bitirebilmek i\u00e7in taray\u0131c\u0131n\u0131zda JavaScript&#039;i etkinle\u015ftirin.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-3057-field_18-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"18\"><label class=\"wpforms-field-label\">Name <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-3057-field_18\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][18][first]\" required><label for=\"wpforms-3057-field_18\" class=\"wpforms-field-sublabel after\">Ad<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-3057-field_18-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][18][last]\" required><label for=\"wpforms-3057-field_18-last\" class=\"wpforms-field-sublabel after\">Soyad<\/label><\/div><\/div><\/div><div id=\"wpforms-3057-field_19-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"19\"><label class=\"wpforms-field-label\" for=\"wpforms-3057-field_19\">Email <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"email\" id=\"wpforms-3057-field_19\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][19]\" spellcheck=\"false\" required><\/div><div id=\"wpforms-3057-field_21-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"21\"><label class=\"wpforms-field-label\" for=\"wpforms-3057-field_21\">1. What role does music play in your life?<\/label><textarea id=\"wpforms-3057-field_21\" class=\"wpforms-field-medium\" name=\"wpforms[fields][21]\" ><\/textarea><div class=\"wpforms-field-description\">You may briefly describe or illustrate with examples.<\/div><\/div><div id=\"wpforms-3057-field_2-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"2\"><label class=\"wpforms-field-label\" for=\"wpforms-3057-field_2\">2. What music genres do you enjoy?<\/label><textarea id=\"wpforms-3057-field_2\" class=\"wpforms-field-medium\" name=\"wpforms[fields][2]\" ><\/textarea><\/div><div id=\"wpforms-3057-field_3-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"3\"><label class=\"wpforms-field-label\" for=\"wpforms-3057-field_3\">3. Which artists or bands do you like?<\/label><textarea id=\"wpforms-3057-field_3\" class=\"wpforms-field-medium\" name=\"wpforms[fields][3]\" ><\/textarea><\/div><div id=\"wpforms-3057-field_20-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"20\"><label class=\"wpforms-field-label\" for=\"wpforms-3057-field_20\">4. Is there a song or album that makes you feel good or that you frequently listen to? If yes, please specify:<\/label><textarea id=\"wpforms-3057-field_20\" class=\"wpforms-field-medium\" name=\"wpforms[fields][20]\" ><\/textarea><\/div><div id=\"wpforms-3057-field_4-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"4\"><label class=\"wpforms-field-label\" for=\"wpforms-3057-field_4\">5. Are there any music genres or sounds you dislike or find disturbing? If yes, please explain:<\/label><textarea id=\"wpforms-3057-field_4\" class=\"wpforms-field-medium\" name=\"wpforms[fields][4]\" ><\/textarea><\/div>\t\t<div id=\"wpforms-3057-field_1-container\"\n\t\t\tclass=\"wpforms-field wpforms-field-text\"\n\t\t\tdata-field-type=\"text\"\n\t\t\tdata-field-id=\"1\"\n\t\t\t>\n\t\t\t<label class=\"wpforms-field-label\" for=\"wpforms-3057-field_1\" >participated comments sounds<\/label>\n\t\t\t<input type=\"text\" id=\"wpforms-3057-field_1\" class=\"wpforms-field-medium\" name=\"wpforms[fields][1]\" >\n\t\t<\/div>\n\t\t<div id=\"wpforms-3057-field_5-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"5\"><label class=\"wpforms-field-label\" for=\"wpforms-3057-field_5\">6. Do you have any specific sensitivities related to music or points you would like the therapist to consider?<\/label><textarea id=\"wpforms-3057-field_5\" class=\"wpforms-field-medium\" name=\"wpforms[fields][5]\" ><\/textarea><\/div><div id=\"wpforms-3057-field_7-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"7\"><label class=\"wpforms-field-label\">7. Do you play any musical instruments?<\/label><ul id=\"wpforms-3057-field_7\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-3057-field_7_1\" name=\"wpforms[fields][7]\" value=\"Yes\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3057-field_7_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-3057-field_7_2\" name=\"wpforms[fields][7]\" value=\"No\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3057-field_7_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-3057-field_8-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"8\"><label class=\"wpforms-field-label\" for=\"wpforms-3057-field_8\">If yes, which instrument(s)?<\/label><input type=\"text\" id=\"wpforms-3057-field_8\" class=\"wpforms-field-medium\" name=\"wpforms[fields][8]\" ><\/div><div id=\"wpforms-3057-field_9-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"9\"><label class=\"wpforms-field-label\">8. Do you feel comfortable singing?<\/label><ul id=\"wpforms-3057-field_9\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-3057-field_9_1\" name=\"wpforms[fields][9]\" value=\"Yes, always\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3057-field_9_1\">Yes, always<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-3057-field_9_2\" name=\"wpforms[fields][9]\" value=\"Sometimes\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3057-field_9_2\">Sometimes<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-3057-field_9_3\" name=\"wpforms[fields][9]\" value=\"No, not at all\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3057-field_9_3\">No, not at all<\/label><\/li><\/ul><\/div><div id=\"wpforms-3057-field_10-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"10\"><label class=\"wpforms-field-label\">9. Do you have any experience in composing music?<\/label><ul id=\"wpforms-3057-field_10\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-3057-field_10_1\" name=\"wpforms[fields][10]\" value=\"Yes\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3057-field_10_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-3057-field_10_2\" name=\"wpforms[fields][10]\" value=\"No\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3057-field_10_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-3057-field_11-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"11\"><label class=\"wpforms-field-label\">10. Have you participated in group or solo music performances?<\/label><ul id=\"wpforms-3057-field_11\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-3057-field_11_1\" name=\"wpforms[fields][11]\" value=\"Yes\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3057-field_11_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-3057-field_11_2\" name=\"wpforms[fields][11]\" value=\"No\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3057-field_11_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-3057-field_12-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"12\"><label class=\"wpforms-field-label\">11. How often do you typically listen to music?<\/label><ul id=\"wpforms-3057-field_12\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-3057-field_12_1\" name=\"wpforms[fields][12]\" value=\"More than 1 hour per day\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3057-field_12_1\">More than 1 hour per day<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-3057-field_12_2\" name=\"wpforms[fields][12]\" value=\"About 1 hour per day\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3057-field_12_2\">About 1 hour per day<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-3057-field_12_3\" name=\"wpforms[fields][12]\" value=\"A few times per week\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3057-field_12_3\">A few times per week<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-3057-field_12_4\" name=\"wpforms[fields][12]\" value=\"Rarely\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3057-field_12_4\">Rarely<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"radio\" id=\"wpforms-3057-field_12_5\" name=\"wpforms[fields][12]\" value=\"Never\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3057-field_12_5\">Never<\/label><\/li><\/ul><\/div><div id=\"wpforms-3057-field_14-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"14\"><label class=\"wpforms-field-label\">12. In which settings do you usually prefer to listen to music?<\/label><ul id=\"wpforms-3057-field_14\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-3057-field_14_1\" name=\"wpforms[fields][14][]\" value=\"Home\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3057-field_14_1\">Home<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-3057-field_14_2\" name=\"wpforms[fields][14][]\" value=\"Work \/ School\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3057-field_14_2\">Work \/ School<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-3057-field_14_3\" name=\"wpforms[fields][14][]\" value=\"During commuting \/ travel\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3057-field_14_3\">During commuting \/ travel<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-3057-field_14_4\" name=\"wpforms[fields][14][]\" value=\"Exercise \/ Sports\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3057-field_14_4\">Exercise \/ Sports<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"checkbox\" id=\"wpforms-3057-field_14_5\" name=\"wpforms[fields][14][]\" value=\"Concerts \/ Live music\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3057-field_14_5\">Concerts \/ Live music<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"checkbox\" id=\"wpforms-3057-field_14_6\" name=\"wpforms[fields][14][]\" value=\"Other\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3057-field_14_6\">Other<\/label><\/li><\/ul><div class=\"wpforms-field-description\">Please select all that apply.<\/div><\/div><div id=\"wpforms-3057-field_15-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"15\"><label class=\"wpforms-field-label\">13. Do you prefer listening to music alone or with others?<\/label><ul id=\"wpforms-3057-field_15\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-3057-field_15_1\" name=\"wpforms[fields][15]\" value=\"Mostly alone\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3057-field_15_1\">Mostly alone<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-3057-field_15_2\" name=\"wpforms[fields][15]\" value=\"Mostly with others\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3057-field_15_2\">Mostly with others<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-3057-field_15_3\" name=\"wpforms[fields][15]\" value=\"Depends on the situation\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3057-field_15_3\">Depends on the situation<\/label><\/li><\/ul><\/div><div id=\"wpforms-3057-field_16-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"16\"><label class=\"wpforms-field-label\">14. Have you ever participated in any music therapy sessions or related activities?<\/label><ul id=\"wpforms-3057-field_16\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-3057-field_16_1\" name=\"wpforms[fields][16]\" value=\"Yes\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3057-field_16_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-3057-field_16_2\" name=\"wpforms[fields][16]\" value=\"No\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3057-field_16_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-3057-field_17-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"17\"><label class=\"wpforms-field-label\" for=\"wpforms-3057-field_17\">15. Any questions or comments you\u2019d like to share?<\/label><textarea id=\"wpforms-3057-field_17\" class=\"wpforms-field-medium\" name=\"wpforms[fields][17]\" ><\/textarea><\/div><script>\n\t\t\t\t( function() {\n\t\t\t\t\tconst style = document.createElement( 'style' );\n\t\t\t\t\tstyle.appendChild( document.createTextNode( '#wpforms-3057-field_1-container { position: absolute !important; overflow: hidden !important; display: inline !important; height: 1px !important; width: 1px !important; z-index: -1000 !important; padding: 0 !important; } #wpforms-3057-field_1-container input { visibility: hidden; } #wpforms-conversational-form-page #wpforms-3057-field_1-container label { counter-increment: none; }' ) );\n\t\t\t\t\tdocument.head.appendChild( style );\n\t\t\t\t\tdocument.currentScript?.remove();\n\t\t\t\t} )();\n\t\t\t<\/script><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"3057\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/ilgianderson.com\/tr\/wp-json\/wp\/v2\/posts\/3056\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-3057\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Submit\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit<\/button><img decoding=\"async\" src=\"https:\/\/ilgianderson.com\/wp-content\/plugins\/wpforms-lite\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Y\u00fckleniyor\"><\/div><\/form><\/div>  <!-- .wpforms-container -->\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Thank you for taking the time to complete this form. The purpose of this form is to gather information about your music preferences, experiences, and comfort levels. This will help the therapist tailor the session to your needs and make your experience more enjoyable and effective. Please note that all questions are optional. You may &hellip;<\/p>\n<p class=\"read-more\"> <a class=\"\" href=\"https:\/\/ilgianderson.com\/tr\/adult-music-therapy-intake-form\/\"> <span class=\"screen-reader-text\">Yeti\u015fkin M\u00fczik Terapi Bilgi Formu<\/span> Devam\u0131 &raquo;<\/a><\/p>","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_uag_custom_page_level_css":"","_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"","footnotes":""},"categories":[1],"tags":[],"class_list":["post-3056","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Adult Music Therapy Intake Form - ilgianderson.com<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/ilgianderson.com\/tr\/adult-music-therapy-intake-form\/\" \/>\n<meta property=\"og:locale\" content=\"tr_TR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Adult Music Therapy Intake Form - ilgianderson.com\" \/>\n<meta property=\"og:description\" content=\"Thank you for taking the time to complete this form. The purpose of this form is to gather information about your music preferences, experiences, and comfort levels. This will help the therapist tailor the session to your needs and make your experience more enjoyable and effective. Please note that all questions are optional. 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