Playlist Questionnaire * These items are required. If you’d prefer, you can also fill out a paper form here. Listener information Name * Age High school graduation year Telephone number * Caregiver information Name * Telephone number * Comsewogue Library barcode number (Listener or Caregiver) Barcode number * Listener's Music Preferences Favorite type(s) of music BluesBig BandsClassicalCountry/Western*JazzLatinoOldies*OperaR&BRock & Roll*ReligiousShow Tunes*Other* * Oldies Decade 40s50s60s70s * Please be specific What songs did you dance to at your wedding or prom? When you were young, who/what were your favorite singers/performers (list 5-10)? Favorite hymns or other religious music: Anything else important (other likes/dislikes, etc.), or any other specific music requests: Please leave this field empty.