Backtrack Boys Audience Survey Question Title * 1. Do you identify as... Female Male Non-binary / third gender Prefer not to say Prefer to self describe OK Question Title * 2. Which age group are you in? Under 20 21-30 31-40 41-50 51-60 61-70 Over 70 OK Question Title * 3. When did you attend a screening of Backtrack Boys? Date Date OK Question Title * 4. Which Screening did you attend (Venue, Town, State)? OK Question Title * 5. Has the film increased your awareness of experiences for young people who are having a hard time? Please rate A great deal A lot A moderate amount A little Not at all OK Question Title * 6. Has the film increased your awareness of experiences for young people who are encountering the justice system and juvenile detention? Please rate A great deal A lot A moderate amount A little Not at all OK Question Title * 7. Has the film changed your thinking in any way about the experience of young people who are having a hard time? Please rate A great deal A lot A moderate amount A little Not at all OK Question Title * 8. Do you think you are likely to do any of the following after seeing this film? Contact a decision maker in my community to talk about the film and the situation for young people Find out about how I can participate in youth programs in my community Find out ways in which I might be able to help young people in my community Volunteer with a youth organisation or youth support service Donate to BackTrack or other youth programs Not likely to do anything I’m inspired to do something else – can you please briefly explain? OK Question Title * 9. Do you want to see youth programs in your community take on a whole-of-community approach like the BackTrack program? Yes No OK Question Title * 10. Did you know about the BackTrack program before seeing the film? Yes No OK Question Title * 11. We’d love to stay in touch! Please let us know if you would like us to contact you (optional): I’d like to host a screening in my community or workplace I would like to receive email updates from BackTrack Boys the film I would like to receive email updates from BackTrack the program OK Question Title * 12. Please leave us your details below and we will be in touch shortly (optional) My name is Email Address Phone Number OK Question Title * 13. Please share any other comments you have below: OK DONE