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* 1. Have you seen the documentary film DISCLOSURE?

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* 2. How much did DISCLOSURE increase your knowledge of the history of trans representation in film and television:

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* 3. After watching Disclosure are you questioning or thinking more critically abut the media?

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* 4. If yes, how are you questioning or thinking more critically about the media?

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* 5. What do you need as a viewer after watching this film?

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* 6. After watching DISCLOSURE how likely are you to (1 = not at all likely, 5 = very likely)

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Get involved locally around issues related to trans representation and rights

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* 7. After watching DISCLOSURE how likely are you to (1 = not at all likely, 5 = very likely)

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Talk to friends or family about the film

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* 8. After watching DISCLOSURE how likely are you to (1 = not at all likely, 5 = very likely)

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Talk to friends or family about transgender rights

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* 9. After watching DISCLOSURE how likely are you to (1 = not at all likely, 5 = very likely)

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Consider trans issues as a priority when I vote

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* 10. After watching DISCLOSURE how likely are you to (1 = not at all likely, 5 = very likely)

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Say something or intervene if you hear a transphobic remark or see a transphobic action

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* 11. After watching DISCLOSURE how likely are you to (1 = not at all likely, 5 = very likely)

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Take some other action, please describe: ______

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* 12. Do you work in any of the following industries:

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* 13. Please check this box if you think DISCLOSURE could be a powerful tool in your work in organizing, advocacy, community services or teaching:

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* 14. After watching DISCLOSURE have your beliefs about trans people expanded or changed:

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* 15. If your beliefs have changed, please indicated how: _____

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* 16. After watching DISCLOSURE has your feeling of connection to trans communities changed? Please select any of the following that apply:

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* 17. After watching DISCLOSURE how are you more or less likely to seek out information about legislation and policies that affect trans folks:

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* 18. Would you be interested in using DISCLOSURE in your work? Check this box and a member of our team will reach out:

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* 19. Would you like to stay in touch with us? Check this box to receive the DISCLOSURE newsletter:

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* 20. Name:

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* 21. Gender Identity:

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* 22. Do you identify as transgender?:

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* 23. Anything else you wany to add? 

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