* 1. How would you rate the various parts of the 17th Summit Against Racism from poor to excellent?

unsatisfactory fair good very good excellent
breakfast
opening remarks
workshop block 1 (please list workshop title/topic)
workshop block 2 (please list workshop title/topic)
lunch
workshop block 3 (please list workshop title/topic)
closing ceremony
overall experience

* 2. Are you motivated to take any new action? If so, what? If not, why not?

* 3. What else should the summit focus on that will further our primary goal of achieving racial justice? Can you suggest new ideas for the next summit?

* 4. Would you like to participate in the planning of next year's summit?

* 5. Can you suggest a location for next year's summit?

* 6. How did you hear about the summit?

* 7. What is your age?

* 8. race?

* 9. gender?

* 10. Please provide your contact information if you want us to get in touch about the planning of the 18th summit, and other events.

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