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* 1. Name (Optional)

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* 2. Are you a member or affiliate of SIFT MEDIA 215?

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* 3. Have you attended events or workshops held by SIFT?

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* 4. Age

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* 5. Location

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* 6. State/Province

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* 7. City

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* 8. Pronouns

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* 9. Race/Ethnicity (Check All That Apply)

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* 10. Gender

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* 11. Disability

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* 12. Veteran

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* 13. Marital Status

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* 14. Children or Dependents

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* 15. Education Level

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* 16. Area of Work (Check All that Apply)

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* 17. Employment (Check All that Apply)

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* 18. Income

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* 19. Do you currently have any health issues?

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* 20. Where are you in your career?

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* 21. Do you currently have any affiliations or memberships that are media related?

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* 22. How have these memberships/affiliations helped you in your career?

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* 23. Do you have a mentor? Have you had a mentor?

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* 24. Are you currently mentoring?

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* 25. Would you be interested in mentoring in the next 1-3 years?

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* 26. How has mentorship furthered your career?

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* 27. Have you ever been in a Union? b) Are you currently in a Union?

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* 28. Have you received grant funding from any of the following: (Check All that Apply)

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* 29. Have you received LOCAL grant funding from any of the following: (Check All that Apply)

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* 30. Have you received funding for you work from: (Check All that Apply)

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* 31. Do you have family, friends, co-workers, neighbors or others who support you regularly?

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* 32. Do you have self-care routines or rituals?

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* 33. Do your personal and other responsibilities or obligations conflict with your creative work? Please explain.

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* 34. If so, which of the following would help you better navigate that conflict: (Check All that Apply)

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* 35. Have you received support or backing for your creative work from peers or other artists? Please explain. 

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* 36. Do you have a film or media business/production company?

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* 37. Do you have a Non-Profit film or media organization?

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* 38. Has being a woman, or person who identifies as woman, ever been a problem for you in your work or in working with others in the film/media industry?

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* 39. Has being Black, Indigenous, Asian, Latinx or Multiracial ever been a problem for you in your work or in working with others in the film/media industry ?

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* 40. What would help you get to the next level in your career or with your projects in the next 6 months to 1 Year? (Check All that Apply)

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* 41. What changes would you like to see happen in Philly in the next 3 years? Why?

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* 42. What would make Philly a viable place for you to stay and work or come back to and work?

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* 43. What does NYC, Atlanta, LA, Houston, etc have that is needed in Philadelphia?

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* 44. If you are currently outside of Philadelphia, what do you need to sustain your work where you are located?

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* 45. Is your current work sustainable? Please explain. 

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* 46. How long could you continue your creative work with your current resources?

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* 47. Have you received any funding from the City of Philadelphia?

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* 48. Have you received any resources for your artistry, business and/or non-profit from the City of Philadelphia (i.e. business development, marketing, certifications, etc.)?

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* 49. What more can be done by the City of Philadelphia to improve film or media making for you?

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* 50. Is there anything else you would like for us to know about you, your art or your business? 

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