Women Role Models in the Digital Age (English)
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1. Please provide us some information about yourself. Only your City and Country of Origin are required, and all information you provide will be kept in strict confidence.

Please provide us some information about yourself. Only your City and Country of Origin are required, and all information you provide will be kept in strict confidence. First Name:
Last Name:
Age:
Gender:
Email Address:
*City & Country:
First Language:
Second Language:
Telephone Number:
May we follow up with you about your survey answers (Y/N)?

2. Please tell us what kind of female role models you have. Please select all that apply.

Please tell us what kind of female role models you have. Please select all that apply. Family Member (Mother, Aunt, Sister, etc.) Personal Friend or Acquaintance Virtual Friend or Acquaintance (Someone you mostly have contact with online) School Figure (Teacher, Professor, School Counselor, etc.) Mentor (Professional or Other)	Religious or Civic Community Figure Sport or Other Social Club Member Public Figure or Celebrity (Politician, Athlete, TV/Music/Movies Star, etc.) Fictional Character (From a TV Show, Movie, Video Game, Book, etc.)
Other/Comment:

3. Of your female role models who are living personal acquaintances, in what ways do you stay in contact or follow their activities? Please select all that apply.

Of your female role models who are living personal acquaintances, in what ways do you stay in contact or follow their activities? Please select all that apply. Face-to-Face Meetings Phonecalls Phone SMS/Texting Email Online Chatting or Skype	Facebook Twitter LinkedIn Online Virtual Worlds (e.g. Second Life) Online Gaming (e.g. World of Warcraft)
Other/Comment:

4. Of your female role models who were or are public figures, how did you come to learn about them and/or how do you follow their activities? Please select all that apply.

Of your female role models who were or are public figures, how did you come to learn about them and/or how do you follow their activities? Please select all that apply. Newspapers & Magazines Books Television - News Programs Television - Entertainment Programs Movies Online - News Websites Online - Entertainment Websites, including Fan Pages Email	Facebook Twitter LinkedIn Online Chatrooms or Forums Phone SMS/Texting Online Virtual Worlds (e.g. Second Life) Online Gaming (e.g. World of Warcraft)
Other/Comment:

5. What is it about a woman that makes her a role model for you? Please select all that apply.

What is it about a woman that makes her a role model for you? Please select all that apply. Famous Popular Rich Beautiful Honest Intelligent Powerful Strong Determined	Elegant Good Talented Sexy Practical Generous Outspoken Fighter Underdog	Ambitious Brave Humble Self-made Carefree Uncompromising Reliable Kind
Other/Comment:

6. Please tell us the Top Five traits a female role model should have. Feel free to use items from Question 5.

Please tell us the Top Five traits a female role model should have. Feel free to use items from Question 5. Role Model Top Trait 1
Role Model Top Trait 2
Role Model Top Trait 3
Role Model Top Trait 4
Role Model Top Trait 5

7. In your opinion, how important is it for young girls and women to have female role models?

In your opinion, how important is it for young girls and women to have female role models? Very important

Somewhat important

Not so important

Not important at all

Please Comment:

8. In your opinion, does the Media, including Arts & Entertainment, play an important role in building female role models?

In your opinion, does the Media, including Arts & Entertainment, play an important role in building female role models? Very important

Somewhat Important

Not so important

Not important at all

Please Comment:

9. In your opinion, does the Media, including Arts & Entertainment, do a good job in building and promoting female role models?

In your opinion, does the Media, including Arts & Entertainment, do a good job in building and promoting female role models? Very good

Good

Bad

Very bad

Please Comment:

10. Please respond to the following statements.

	Strongly Agree	Agree	Disagree	Strongly Disagree
There is a shortage of good female role models in society.	*Please respond to the following statements. There is a shortage of good female role models in society. Strongly Agree	There is a shortage of good female role models in society. Agree	There is a shortage of good female role models in society. Disagree	There is a shortage of good female role models in society. Strongly Disagree
Young girls and women need good female role models.	Young girls and women need good female role models. Strongly Agree	Young girls and women need good female role models. Agree	Young girls and women need good female role models. Disagree	Young girls and women need good female role models. Strongly Disagree
As a society, we do not do a good job of building and promoting female role models.	As a society, we do not do a good job of building and promoting female role models. Strongly Agree	As a society, we do not do a good job of building and promoting female role models. Agree	As a society, we do not do a good job of building and promoting female role models. Disagree	As a society, we do not do a good job of building and promoting female role models. Strongly Disagree
The media does a good job of promoting female role models.	The media does a good job of promoting female role models. Strongly Agree	The media does a good job of promoting female role models. Agree	The media does a good job of promoting female role models. Disagree	The media does a good job of promoting female role models. Strongly Disagree
The educational system does a good job of promoting female role models.	The educational system does a good job of promoting female role models. Strongly Agree	The educational system does a good job of promoting female role models. Agree	The educational system does a good job of promoting female role models. Disagree	The educational system does a good job of promoting female role models. Strongly Disagree
We need more realistic woman characters in fictional roles (in movies, books, TV shows, etc.).	We need more realistic woman characters in fictional roles (in movies, books, TV shows, etc.). Strongly Agree	We need more realistic woman characters in fictional roles (in movies, books, TV shows, etc.). Agree	We need more realistic woman characters in fictional roles (in movies, books, TV shows, etc.). Disagree	We need more realistic woman characters in fictional roles (in movies, books, TV shows, etc.). Strongly Disagree
We need to hear more success stories about real women in different roles in society.	We need to hear more success stories about real women in different roles in society. Strongly Agree	We need to hear more success stories about real women in different roles in society. Agree	We need to hear more success stories about real women in different roles in society. Disagree	We need to hear more success stories about real women in different roles in society. Strongly Disagree
We need better and more interesting stories about women, real and fictional, in all media.	We need better and more interesting stories about women, real and fictional, in all media. Strongly Agree	We need better and more interesting stories about women, real and fictional, in all media. Agree	We need better and more interesting stories about women, real and fictional, in all media. Disagree	We need better and more interesting stories about women, real and fictional, in all media. Strongly Disagree
Online media presents an opportunity to build and promote female role models.	Online media presents an opportunity to build and promote female role models. Strongly Agree	Online media presents an opportunity to build and promote female role models. Agree	Online media presents an opportunity to build and promote female role models. Disagree	Online media presents an opportunity to build and promote female role models. Strongly Disagree

Comment:

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Women Role Models in the Digital Age (English)Exit this survey

1. Please provide us some information about yourself. Only your City and Country of Origin are required, and all information you provide will be kept in strict confidence.

2. Please tell us what kind of female role models you have. Please select all that apply.

3. Of your female role models who are living personal acquaintances, in what ways do you stay in contact or follow their activities? Please select all that apply.

4. Of your female role models who were or are public figures, how did you come to learn about them and/or how do you follow their activities? Please select all that apply.

5. What is it about a woman that makes her a role model for you? Please select all that apply.

6. Please tell us the Top Five traits a female role model should have. Feel free to use items from Question 5.

7. In your opinion, how important is it for young girls and women to have female role models?

8. In your opinion, does the Media, including Arts & Entertainment, play an important role in building female role models?

9. In your opinion, does the Media, including Arts & Entertainment, do a good job in building and promoting female role models?

10. Please respond to the following statements.

Women Role Models in the Digital Age (English)
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