Question Title

* 1. School name

Question Title

* 2. Date of Session:

Date

Question Title

* 3. Check one box for each question.

  Strongly agree Agree Disagree Strongly disagree
I know more about ways that media and culture can affect how people think about themselves.
I know more about the ways that sexual violence in media and culture can affect real life relationships.
I know more about ways that media and culture can affect how we think about gender.

Question Title

* 4. Name one way that media can impact how a person thinks about themselves.

Question Title

* 5. Name one way that sexual violence in media can affect real life relationships.

Question Title

* 6. Name one way that gender stereotypes in media can affect how a person thinks and acts.

T