"'F-words' for Youth" video survey

What country do you live in?

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* 1. What country do you live in?

You are a: (Please check all that apply.)

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* 2. You are a: (Please check all that apply.)

Youth or young person with a disability (under age 34)

Adult with a disability (age 35+)

Family member of someone with a disability

Friend of someone with a disability

Researcher

Student

Therapist

Physician

Educator

Other (please specify)

How did you hear about this video? (Please check all that apply.)

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* 3. How did you hear about this video? (Please check all that apply.)

Friend / Family member

Social media

Internet / Google

Website

CP-NET event

E-newsletter

Other (please specify)

Had you heard of the 'F-words' in disability before watching this video?

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* 4. Had you heard of the 'F-words' in disability before watching this video?

Yes

Has watching this video changed the way you think about disability?

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* 5. Has watching this video changed the way you think about disability?

Yes, it has had a positive effect on how I think about disability

Yes, it has had a negative effect on how I think about disability

No, it has not changed how I think about disability

Not sure

Other (please specify)

Will you share this video with others?

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* 6. Will you share this video with others?

Yes

Do you think you will use the 'f-words'?

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* 7. Do you think you will use the 'f-words'?

Yes

Not sure

If yes, please share how!

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* 8. If yes, please share how!

Do you have any other comments to share about this video?

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* 1. What country do you live in?

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* 2. You are a: (Please check all that apply.)

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* 3. How did you hear about this video? (Please check all that apply.)

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* 4. Had you heard of the 'F-words' in disability before watching this video?

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* 5. Has watching this video changed the way you think about disability?

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* 6. Will you share this video with others?

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* 7. Do you think you will use the 'f-words'?

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* 8. If yes, please share how!

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* 9. Do you have any other comments to share about this video?