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Hello! Thank you for participating in Out of Hand Dinners.
Please complete this 3 minute survey.
Your input supports our continued funding. We appreciate any feedback you have!
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1.
Select the extent to which you agree or disagree:
After this event, I feel moved
(Required.)
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
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2.
Select the extent to which you agree or disagree:
After this event, I feel inspired to make a change
(Required.)
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
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3.
Select the extent to which you agree or disagree:
After this event, I feel more connected with others
(Required.)
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
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4.
Select the extent to which you agree or disagree:
After this event, I feel inspired to take action
(Required.)
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
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5.
Select the extent to which you agree or disagree:
After this event, I have a better understanding of inequities that exist in our systems
(Required.)
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
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6.
What action are you most inspired to take after today's event?
(Required.)
*
7.
Please share the race/ethnicity with which you identify (select all that apply)
(Required.)
Black or African American
Caribbean
Hispanic or Latine
Native American
Native Hawaiian
Asian or Asian American and/or Pacific Islander
Arabic, Middle Eastern, and/or North African
White
Multi-racial
Choose not to answer
I use a different term (Please enter your preferred description)
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8.
Please enter languages spoken
(Required.)
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9.
Please share your age range:
(Required.)
17 or below
18-29
30-39
40-49
50-59
60-69
70 and above
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10.
Please select your current gender identity:
(Required.)
Woman
Man
Non-binary
Two-sprit [if respondent is Native American/Alaska Native]
I use a different term (please enter your preferred description)
11.
Are you interested in getting involved with Out of Hand Theater?
I am already connected to Out of Hand!
I am interested in learning about other Out of Hand programs!
I am interested in learning about bringing Out of Hand Dinners to my workplace or community!
I am interested in more information about serving on Out of Hand Theater's Advisory Board!
12.
If you would like for us to contact you about opportunities please share your email and phone number. Thank you!
Name
Email Address
Phone Number
13.
Please share anything else you'd like us to know! We'd love to hear from you.
