BKCM MT Families - Remote Session Readiness

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Email *

Music Therapist Name *

Name of Parent *

Name of Music Therapy Student *

Do you have any instruments at home? *

Yes

Maybe

Can you specify what kinds of instruments you have at home? *

Would you be interested in a parent/therapist video conference for tips on ways to use music/songs at home with your student as separate from their session time? *

Yes

Maybe

Are you interested in online music therapy classes or groups that you could participate in from home with your family? *

Yes

Maybe

Do you have a device that can be used for remote music therapy sessions with a functional camera? *

Yes

Maybe

Other:

What device are planning to use? *

Have you used a video communication platform before (such as Skype or Zoom)? *

Yes

Maybe

Other:

Will there be an adult at home who can assist your student to remain near the computer and participate? *

Yes

Do you have a space at home where you feel your student will feel comfortable participating in a remote music therapy session? *

Do you have reliable internet access? *

Yes

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