RE-CHARGED Audience Survey from Clean Break and Soho Theatre
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1. How did you hear about the performance?

2. Why did you come to see RE-CHARGED? (Please tick as many as apply)

3. Have you attended any Clean Break performances or events before? (Please tick one)

4. Have you attended any Soho Theatre performances or events before? (Please tick one)

5. How would you rate RE-CHARGED? (Please tick one)

Clean Break are required by funders to collect data about gender, ethnicity, disability and offending background. Information in this section will be stored separately and anonymously.

6. Are you?

7. Do you consider yourself to be disabled?

8. Are you … ?

9. Do you have personal experience of the Criminal Justice System?

10. How would you descrobe your ethnic origin? (Please select one from the following options).

11. Are you already on Clean Break's mailing list?

12. Are you already on Soho Theatre's mailing list?

13. Would you like Clean Break to keep in touch? (Please tick as appropriate)

14. KEEP IN TOUCH AND JOIN CLEAN BREAK’S MAILING LIST. Please complete the boxes/form below - Please make sure you complete fields marked with a *

To be in with a chance to win £40.00 of Theatre Tokens (redeemable at Soho Theatre and 100’s other UK theatres) + Charged play text, please complete the form with your details. If you have not answered NO to question 13 we will not add you to Clean Break's mailing list but will enter you into the prize draw.

15. Clean Break may occasionally wish to pass your details onto other like-minded organisations.

Many thanks for your participation

Clean Break and Soho Theatre