Thank you for watching SURVIVOR MADE and filling out this short survey. Your responses help guide our impact campaign. If you are uncomfortable with a question, feel free to leave it blank.

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* 1. Your Name

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* 2. Your Organization

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* 3. Your Email

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* 4. Where did you watch SURVIVOR MADE?

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* 5. Where do you call home?

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* 6. We'd love to hear from you! Please share your thoughts on SURVIVOR MADE: What stood out to you about the film, and how did it make you feel?

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* 7. After watching SURVIVOR MADE I have a better understanding of: (Select all that apply)

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* 8. After watching Survivor Made, I feel inspired to: (Select all that apply)

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* 9. Does SURVIVOR MADE differ from other films or media that explore gender based violence? If so, in what way(s)?

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* 10. I have been subjected to gender-based violence, and after watching SURVIVOR MADE, I feel:

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* 11. Can we include your thoughts in our impact campaign? Our film celebrates community, and we’d love to share these stories with your voice!

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* 12. Survivor-entrepreneurs, join the GIFTED community! Check the box to learn more about selling on GIFTED.

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* 13. Would you like to join our newsletter?

Thank you for completing the survey!
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