Foster Care Stories: A Place to Be
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1. Please Indicate how much you agree or disagree with each of the following statements:

	Completely Disagree	Disagree	Neither Disagree nor Agree	Agree	Completely Agree
This film was a worthwhile use of my time.	*Please Indicate how much you agree or disagree with each of the following statements: This film was a worthwhile use of my time. Completely Disagree	This film was a worthwhile use of my time. Disagree	This film was a worthwhile use of my time. Neither Disagree nor Agree	This film was a worthwhile use of my time. Agree	This film was a worthwhile use of my time. Completely Agree
I learned something from this film.	I learned something from this film. Completely Disagree	I learned something from this film. Disagree	I learned something from this film. Neither Disagree nor Agree	I learned something from this film. Agree	I learned something from this film. Completely Agree
I enjoyed watching Foster Care Stories: A Place to Be.	I enjoyed watching Foster Care Stories: A Place to Be. Completely Disagree	I enjoyed watching Foster Care Stories: A Place to Be. Disagree	I enjoyed watching Foster Care Stories: A Place to Be. Neither Disagree nor Agree	I enjoyed watching Foster Care Stories: A Place to Be. Agree	I enjoyed watching Foster Care Stories: A Place to Be. Completely Agree
This film was useful to me personally.	This film was useful to me personally. Completely Disagree	This film was useful to me personally. Disagree	This film was useful to me personally. Neither Disagree nor Agree	This film was useful to me personally. Agree	This film was useful to me personally. Completely Agree

2. What did you learn from this film?

What did you learn from this film?

3. Did this film change the way you think about anything in particular?

Did this film change the way you think about anything in particular? Yes

Not Sure

If yes, please explain

4. Were you inspired by this film?

Were you inspired by this film? Yes

Not Sure

If yes, please explain

5. What other kinds of foster care stories would you like to see covered in future documentaries?

What other kinds of foster care stories would you like to see covered in future documentaries?

6. Was this screening event at a convenient time for you?

Was this screening event at a convenient time for you? Yes

If no, please suggest more suitable options.

7. Was this event a good length of time for you?

Was this event a good length of time for you? Yes

8. Which of these statements best describes your opinion?

Which of these statements best describes your opinion? Most people can be trusted to do the right thing

Most people are just out for themselves

9. Overall, how much impact do you think people like you can have in making your community a better place to live?

Overall, how much impact do you think people like you can have in making your community a better place to live? No impact

A small impact

Moderate impact

Big impact

10. Overall, how much impact do you think public television can have in making your community a better place to live?

Overall, how much impact do you think public television can have in making your community a better place to live? No impact

A small impact

Moderate impact

Big impact

11. Please indicate how strongly you feel with the question stated below, using a scale from 1-10 (1: not strong at all, 10: very strongly):

	1	2	3	4	5	6	7	8	9	10
Public broadcasting's most important job is to help the community develop and use its collective voice and energy to bring about positive change in the community	*Please indicate how strongly you feel with the question stated below, using a scale from 1-10 (1: not strong at all, 10: very strongly): Public broadcasting's most important job is to help the community develop and use its collective voice and energy to bring about positive change in the community 1	Public broadcasting's most important job is to help the community develop and use its collective voice and energy to bring about positive change in the community 2	Public broadcasting's most important job is to help the community develop and use its collective voice and energy to bring about positive change in the community 3	Public broadcasting's most important job is to help the community develop and use its collective voice and energy to bring about positive change in the community 4	Public broadcasting's most important job is to help the community develop and use its collective voice and energy to bring about positive change in the community 5	Public broadcasting's most important job is to help the community develop and use its collective voice and energy to bring about positive change in the community 6	Public broadcasting's most important job is to help the community develop and use its collective voice and energy to bring about positive change in the community 7	Public broadcasting's most important job is to help the community develop and use its collective voice and energy to bring about positive change in the community 8	Public broadcasting's most important job is to help the community develop and use its collective voice and energy to bring about positive change in the community 9	Public broadcasting's most important job is to help the community develop and use its collective voice and energy to bring about positive change in the community 10

12. Please indicate how strongly you feel with the question stated below, using a scale from 1-10 (1: not strong at all, 10: very strongly):

	1	2	3	4	5	6	7	8	9	10
Local public broadcasting's most important job is to educate, inform, and entertain people in the community rather than to try to motivate or help them improve that community.	*Please indicate how strongly you feel with the question stated below, using a scale from 1-10 (1: not strong at all, 10: very strongly): Local public broadcasting's most important job is to educate, inform, and entertain people in the community rather than to try to motivate or help them improve that community. 1	Local public broadcasting's most important job is to educate, inform, and entertain people in the community rather than to try to motivate or help them improve that community. 2	Local public broadcasting's most important job is to educate, inform, and entertain people in the community rather than to try to motivate or help them improve that community. 3	Local public broadcasting's most important job is to educate, inform, and entertain people in the community rather than to try to motivate or help them improve that community. 4	Local public broadcasting's most important job is to educate, inform, and entertain people in the community rather than to try to motivate or help them improve that community. 5	Local public broadcasting's most important job is to educate, inform, and entertain people in the community rather than to try to motivate or help them improve that community. 6	Local public broadcasting's most important job is to educate, inform, and entertain people in the community rather than to try to motivate or help them improve that community. 7	Local public broadcasting's most important job is to educate, inform, and entertain people in the community rather than to try to motivate or help them improve that community. 8	Local public broadcasting's most important job is to educate, inform, and entertain people in the community rather than to try to motivate or help them improve that community. 9	Local public broadcasting's most important job is to educate, inform, and entertain people in the community rather than to try to motivate or help them improve that community. 10

13. What is the biggest problem facing this community right now?

What is the biggest problem facing this community right now?

14. What is the best thing about living in this community?

What is the best thing about living in this community?

15. How can local public television become more relevant to you, your family and your community?

How can local public television become more relevant to you, your family and your community?

16. Other suggestions or comments?

Other suggestions or comments?

17. Would you be interested in attending other events on this topic?

Would you be interested in attending other events on this topic? Yes

Not Sure

18. Would you like for someone to contact you to answer specific questions you might have around foster care or adoption programs?

Would you like for someone to contact you to answer specific questions you might have around foster care or adoption programs? Yes

19. Please tell us where you live.

Please tell us where you live. Name:
Company:
Address:
Address 2:
City/Town:
State:
ZIP/Postal Code:
Country:
Email Address:
Phone Number:

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Foster Care Stories: A Place to Be Exit this survey

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Foster Care Stories: A Place to Be
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