ACTOR THERAPY I DIAGNOSTIC SURVEY

THE #BASICS
Carter Ellis
Student name: ___________________________________________
Kansas City, MO
Where are you from originally? _________________ Yes
Live in NYC now?________________
24
Age (you can put a range if you wish): ________ Point Park University
Education: __________________________
Equity
Equity/Non-Equity?___________
No
Agent Yes or No? ____________

WHAT MADE YOU SIGN UP FOR ACTOR THERAPY? Check all that apply.
X
__Masterclass with professionals __Personal issues I need help with (therapy was key)
__Need help with song interpretation __Other? _________________________________
__Need
X to improve my book

HOW DID YOU HEAR ABOUT ACTOR THERAPY?

__RSO/Lindsay Tweets or Insta __The website
X
__Friend/Word of mouth __Other________________________

YOU AS A PERFORMER
3-7
On average you audition how many times a month (during normal periods)_________________
Rate your personal motivation on a scale of 1-10, 1 being “Laziest Mofo is me” and 10 being “No
7
one works harder than I do!”__________________
What are some upcoming auditions you’re preparing for?
Alhambra Dinner Theatre
1.________________________________________________
Head Over Heels
2.________________________________________________
3.________________________________________________
Not preparing for auditions? Why?_______________________________________________
YOUR PACKAGE:
If an agent had to pitch you to a casting director, how would you be described…
Tenor with a pop/rock belt
Vocally? High belt, strong alto, etc. ______________________________________________
Physically? Tall and skinny, cute and curvy, strong and athletic,
Tall, Curly hair, average build
etc._____________________________________________________________________
Energetically? Bubbly, vaguely intimidating, goofy,
funny, goofy, boy next door
etc._______________________________________________________________________
Based on your ability to combine ALL three of these factors, what are some appropriate roles for
you in the next five years? Extra points for something on Broadway now (or coming soon!)
1._________________________________________________________________________
2._________________________________________________________________________
3._________________________________________________________________________

Off and On, Kim Steinhauer

Do you currently study voice? If so, with whom? ____________________________________
7/8
How well do you dance, 10 being dance captain, 1-10? _______________________________
No
Do you take dance class weekly? How often and where? ______________________________
Brainstorm some strengths as a
comedy, improv, reading the audience, timing
performer:___________________________________________________________________
What continues to hold you back?
Getting in my own way and not thinking I am good enough
______________________________________________________________________________
______________________________________________________________________________

What is your five week goal for this session?!

1. Build a different book
__________________________________________________________
2. Improve my audition to callback ratio
__________________________________________________________
3. Specify with what I bring to the market and present that in auditions
__________________________________________________________
__________________________________________________________