Move to Include Event Survey

Move to Include is a multi-station initiative using the power of public media to inform our communities about inclusion. It spotlights people of differing abilities and disability issues through television, radio, news, special events, and social media. Each part of the Move to Include initiative will involve a survey like this one in an effort to track the project’s ongoing impact.

This anonymous survey will only take about 5 minutes to complete. You may edit your responses until you click "Done" at the end of the survey. Questions marked with asterisks indicate required responses. Thank you for sharing your opinions and insights with the Move to Include team.

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* 1. Which station hosted or organized the event you attended?

WXXI Rochester

WGCU Ft. Myers

Oregon Public Broadcasting

WFYI Indianapolis

Iowa PBS

WCNY Syracuse

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* 2. What was the name and date of the event you attended?

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* 3. Was the event you attended ...

Virtual

In Person

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* 4. How did the event you attended affect you? Please check any that apply:

I learned something I hadn't known before.

I learned something about disabilities that I hadn't known before.

I learned something about people who have disabilities that I hadn't known before.

I felt the event helped lower the stigma around people with disabilities.

I was inspired to do something positive that I might not otherwise have done before the event.

Other (please specify)

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* 5. Please indicate your level of agreement with the following statement: This event increased my understanding of people with different abilities and/or the issues they face.

Strongly Agree

Agree

Neutral

Disagree

Strongly Disagree

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* 6. Please indicate your level of agreement with the following statement: The public media station that organized this event is a leading community convener on issues involving inclusion and people of different abilities.

Strongly Agree

Agree

Neutral

Disagree

Strongly Disagree

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* 7. Do you have any close friends or family members who have disabilities of any type?

Yes

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* 8. Do you yourself have any type of disability?

Yes

If yes, please specify or tell us about yourself if you'd like.

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* 9. Your age:

12 or less

Teen

20s

30s

40s

50s

60s

70s

80s and over

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* 10. Your gender:

Female

Male

Non-Binary

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* 11. How did you learn of this event?

TV Promotion

Print Promotion

Social media

Radio Promotion

News Story

Web Advertisement

Other (please specify)

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* 12. Did this event meet your expectations?

Yes

Somewhat

Why or Why not?

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* 13. Any final thoughts or comments?

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* 14. May we share your comments with our audience?

Yes

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* 15. Many thanks from Move to Include! Feel free to tell us who you are. This is entirely optional, and your information will be shared only with the public media stations involved in the Move to Include initiative.

Your Name:

Zip code:

Phone / Email address (In case there is a need or opportunity to follow up):