Thank you for your interest in our ethics books and movies list. This resource is free for you to download. We simply ask for 3 minutes of your time to complete this short survey.

The following questions are intended to help us evaluate the impact of the materials being distributed.

Please provide your best estimate for each item. If you are not certain, base your estimate on past history, any known changes, and other information that may be easily available.

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* 1. Contact information
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* 2. For which of the following do you expect to use some or all of the free materials?  Please check all that apply.

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* 3. For the classes in which the requested materials will be used, what is the grade level(s) for the majority of the students enrolled?

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* 4. During the first full year that you use these materials, what is the total number of students who will be impacted? Consider only the students enrolled in the specific class(es) for which you will use the materials.

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* 5. Are students in this class(es) encouraged to participate in one or more of the following student organizations? (Indicate all that apply.)

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* 6. What prompted you to request these materials? (Select all that apply)

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* 7. What is your primary role (choose one)?

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