DIAGNOSTIC FORM
ACTOR THERAPY 1 (NEWBIES)

Hey there, you Newbie. Please fill out the form below completely so your Actor Therapy staff can better guide you on your journey through this session of AT. This form must be filled out prior to your first class. Here we go!

Once you click "SUBMIT" below, please consider your diagnostic received; you won't receive a confirmation.

Name *
Name
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Representation
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Where did you hear about us? *
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OKAY, TELL US MORE
What made you sign up for Actor Therapy?
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Select one. (Be honest with yourself, lol.)
Describe your employment situation.
Check all that apply.
List theaters, shows, and roles; is it open, ECC, EPA, appt., etc.? (If you're NOT preparing for auditions, tell us why?)
LET'S TALK ABOUT YOUR PACKAGE.
SING AND DANCE
WE GET SO EMOTIONAL BABY