Into Dust Audience Survey

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* 1. Do you (check all that apply):

Work in the Water Sector

Work in Governance

Work in the Public Sector

Work in the Private Sector

Work at Grundfos

Other

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* 2. Where did you see INTO DUST?

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* 3. After watching INTO DUST how has your awareness deepened(1 = not at all, 5 = very much) regarding:

	1	2	3	4	5
The issue of inequitable distribution of water	The issue of inequitable distribution of water 1	The issue of inequitable distribution of water 2	The issue of inequitable distribution of water 3	The issue of inequitable distribution of water 4	The issue of inequitable distribution of water 5
The importance of safe and available clean water	The importance of safe and available clean water 1	The importance of safe and available clean water 2	The importance of safe and available clean water 3	The importance of safe and available clean water 4	The importance of safe and available clean water 5
The role of water and public health	The role of water and public health 1	The role of water and public health 2	The role of water and public health 3	The role of water and public health 4	The role of water and public health 5
The role of water and governance	The role of water and governance 1	The role of water and governance 2	The role of water and governance 3	The role of water and governance 4	The role of water and governance 5

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* 4. Please Expand:

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* 5. After watching INTO DUST are you more or less likely to seek out information about legislation and policies that affect communities access to reliable and clean water sources:

I am much more likely to seek out information

I am somewhat more likely to seek out information

I am somewhat less likely to seek out information

I am much less likely to seek out information

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* 6. After watching INTO DUST how likely are you to take the following action?

	Definitely	Probably	Maybe	Probably Not	Definitely Not
Advocate for reducing and/ or /reuse of water Hold a screening of your own	Advocate for reducing and/ or /reuse of water Hold a screening of your own Definitely	Advocate for reducing and/ or /reuse of water Hold a screening of your own Probably	Advocate for reducing and/ or /reuse of water Hold a screening of your own Maybe	Advocate for reducing and/ or /reuse of water Hold a screening of your own Probably Not	Advocate for reducing and/ or /reuse of water Hold a screening of your own Definitely Not
Discuss the film with family and friends	Discuss the film with family and friends Definitely	Discuss the film with family and friends Probably	Discuss the film with family and friends Maybe	Discuss the film with family and friends Probably Not	Discuss the film with family and friends Definitely Not
Research the issues	Research the issues Definitely	Research the issues Probably	Research the issues Maybe	Research the issues Probably Not	Research the issues Definitely Not
Tell friends/colleagues to watch the film	Tell friends/colleagues to watch the film Definitely	Tell friends/colleagues to watch the film Probably	Tell friends/colleagues to watch the film Maybe	Tell friends/colleagues to watch the film Probably Not	Tell friends/colleagues to watch the film Definitely Not
Discuss the issues with your network	Discuss the issues with your network Definitely	Discuss the issues with your network Probably	Discuss the issues with your network Maybe	Discuss the issues with your network Probably Not	Discuss the issues with your network Definitely Not
Support an organization working on the issues	Support an organization working on the issues Definitely	Support an organization working on the issues Probably	Support an organization working on the issues Maybe	Support an organization working on the issues Probably Not	Support an organization working on the issues Definitely Not
Organize a screening/discussion	Organize a screening/discussion Definitely	Organize a screening/discussion Probably	Organize a screening/discussion Maybe	Organize a screening/discussion Probably Not	Organize a screening/discussion Definitely Not
Write letters/sign petitions	Write letters/sign petitions Definitely	Write letters/sign petitions Probably	Write letters/sign petitions Maybe	Write letters/sign petitions Probably Not	Write letters/sign petitions Definitely Not
Donate money to organizations working on the issues	Donate money to organizations working on the issues Definitely	Donate money to organizations working on the issues Probably	Donate money to organizations working on the issues Maybe	Donate money to organizations working on the issues Probably Not	Donate money to organizations working on the issues Definitely Not

Other Activities (please describe):

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* 7. Would you like to receive further information on any of the following:

Additional education or information about the major water issues facing communities today

Ways to take action to support fair and safe water distribution

Ways to take action to end water insecurity

Information about organizations working to provide sustainable solutions to the water crisis

Something else, please describe:

None of the above

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* 8. On a scale of 1-5 (5 being excellent, 1 being poor), how would you rate this event overall?

5=Excellent

4=Very Good

3=Good

2=Fair

1=Poor

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

Yes

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* 10. Would you like to stay in touch with us? Check this box to receive the INTO DUST newsletter:

Yes

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* 11. If so, please provide your email address here.

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* 12. Any additional comments or takeaways about the film or screening event?

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* 13. Do we have your permission to quote you?

Yes

Yes, but only by first name

Yes, but only anonymously

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* 14. Name

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* 15. Age:

Under 18

18-24

25-34

35-44

45-54

55-64

65+

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* 16. What city do you live in?

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* 17. Race/Ethnicity:

White

African American or Black

Latinx

East Asian

Middle Eastern

South Asian

Southeast Asian

Native American or Alaska Native

Pacific Islander

Self describe:

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* 18. Gender Identity

Non-binary

Agender

Female

Male

Trans

Prefer not to say

Self describe: