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RISE Toolkit Feedback Survey
Please answer all questions
*
1.
Which RISE Toolkit Module did you complete?
(Required.)
Understanding Our Identities
Sport as a Vehicle for Social Change
Equality versus Equity
Social Media
Diversity Concepts
*
2.
Where did you use/go through this module? (Check
ALL
that apply)?
(Required.)
School (elementary, middle, junior or high school)
College/University
Non-Profit
Team
Home
Professional sports organization
On my own
*
3.
What is the name of the organization?
(Required.)
*
4.
Please indicate which term(s) best describes your status. (Check
ALL
that apply)
(Required.)
Student
Athlete
Coach
Teacher
Administrator
Parent
*
5.
What is your gender?
(Required.)
Male
Female
Other (please specify)
*
6.
What grade are you in
OR
do you work with? (Check
ALL
that Apply)
(Required.)
6th
7th
8th
9th
10th
11th
12th
Other (please specify)
*
7.
Where do you live? (Please enter zip code. e.g. 48823)
(Required.)
*
8.
What sport do you play/coach? (Check
ALL
that Apply)
(Required.)
Football
Basketball
Soccer
Softball
Baseball
Field Hockey
Ice Hockey
Track & Field
Cross Country
Swimming & Diving
Golf
Lacrosse
Volleyball
Gymnastics
Wrestling
Cheer
Flag Football
N/A
Other (please specify)
*
9.
What would you change about the module?
(Required.)
*
10.
Please indicate your level of agreement with the following statements.
(Required.)
Strongly Disagree
Disagree
Disagree Slightly
Agree Slightly
Agree
Strongly Agree
I found the material fun and engaging.
Strongly Disagree
Disagree
Disagree Slightly
Agree Slightly
Agree
Strongly Agree
I think content like this is really important.
Strongly Disagree
Disagree
Disagree Slightly
Agree Slightly
Agree
Strongly Agree
I feel empowered to have future conversations around difficult topics.
Strongly Disagree
Disagree
Disagree Slightly
Agree Slightly
Agree
Strongly Agree
*
11.
What did you learn from this module?
(Required.)
12.
If you are interested in learning more about RISE's mission or other projects in which we are involved, please provide your email address here.
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