Dear Student,

We need your help! Your feedback is very important to us and we will use it to improve our program.

* 1. What is your first name?

* 2. What is your last name?

* 3. What grade are you in?

* 4. Which Kids Jazz Concert Series show/s did you attend?

* 5. What is your gender?

* 6. What city/town do you live in?

* 7. Please tell us how satisfied you were with today's performance?

* 8. Please tell us what you liked most about today's performance.

* 9. Please tell us whether you AGREE or DISAGREE with the following statements.

  Strongly agree Agree Neutral (Neither Agree or Disagree) Disagree Strongly disagree
Through this experience, I learned about people who are different from me.
This program made me more interested in learning an instrument.
I want to attend another concert like this.

* 10. What type of music do you listen to for general listening? (Please check all that apply.)

* 11. How do you listen to music?

* 12. Did you attend today's Kid Jazz Concert Series with your parents or with an organization/school?