Question Title ABOUT YOU Question Title * 1. First and Last Name Question Title * 2. PronounsThis helps us understand the correct way to address you. Select all that apply. She/Her He/Him They/Them I prefer not to say I will type them in... Question Title * 3. Agency NameIf you're not associated with an agency, please provide the name of your art program. Question Title * 4. Your Position / Title Question Title * 5. Primary Email Address Question Title * 6. Primary Email Address Type Work Personal Question Title * 7. I'd like to add a secondary email address Yes No Question Title * 8. Secondary Email Address Question Title * 9. Secondary Email Address Type Work Personal Question Title * 10. Phone Number Question Title * 11. Phone Number Type Work Personal Question Title * 12. Primary Mailing Address (for mailing raffle prizes, incentives, and important announcements) Street Address City State -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP Code Country Question Title * 13. My agency address is the same as my primary mailing address above. Yes No Question Title * 14. Agency Address Street Address City State -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP Code Country Question Title * 15. What are your academic credentials (if applicable)? (e.g., LCSW, MFT, MA Ed., etc.) Credential 1 Credential 2 Credential 3 WHERE YOU WORK Question Title * 16. What is the primary service area of those you serve through art workshops?* Community oppression / violence services (gang violence, mass shootings, hate crimes, police violence, etc.) Criminal / legal services Disability services Domestic violence services Foster care / adoption services Homeless services Human trafficking services Immigration services (family separation, deportation, refugees / asylees, etc.) Incarceration services Indigenous/tribal nation services LGBTQIA+ services Mental health services Reproductive services (birth trauma, perinatal care, challenges conceiving, etc.) Restorative / transformative justice services (individual and community reconciliation) Sexual assault services Student services Substance use services Other: I will list below Other primary service area not listed above. Question Title * 17. In which settings do you conduct art workshops? Select all that apply. Clinical setting (community mental health, outpatient, etc.) Educational setting (schools, universities, etc.) Events and conferences Faith-based setting Home visits Hospitals Law enforcement/court/legal Outreach program (drop-in services, support groups, etc.) Prisons / jails Private practice Residential program (emergency shelters, inpatient, etc.) Virtually With staff Other (please specify below) Question Title * 18. Do you offer art workshops outside of the United States? Yes No Question Title * 19. If you answered "Yes" to question 13, please share which countries. Question Title * 20. What percentage of your art workshops are one-on-one? 0% 50% 100% Clear i We adjusted the number you entered based on the slider’s scale. Question Title * 21. What percentage of your art workshops are with groups? 0% 50% 100% Clear i We adjusted the number you entered based on the slider’s scale. Question Title * 22. Do you or your organization use participant artwork to communicate with community stakeholders and donors? Yes No Unsure YOUR INDIVIDUAL YEARLY REACH Question Title * 23. Please provide the estimated total number of unduplicated individuals you personally served through AWBW workshops this year. Count each participant only once. Please include fellow staff, family, and friends you facilitated with.Annual estimated unique individuals served: Children (ages 0-12) Teens (ages 13-17) Adults (age 18+) Elders (age 65+) Question Title * 24. From participants reported above, what percentage consists of families of two or more individuals? Family relationships can include parents, children, siblings, grandparents, aunts, uncles, and more. 0 100 Clear i We adjusted the number you entered based on the slider’s scale. Question Title * 25. What is the primary age group you serve through art workshops? Select one. Elders (65+) Adults (18+) Teens (13-17) Children (0-12) Children & Teens (0-17) Families HOW DOES ART HELP? Please rate the impact of art workshops based on your personal observations of participants’ experience this year. Question Title * 26. The art workshops helped participants feel more positive about their future. Strongly agree Agree No change/not sure Disagree Strongly disagree N/A Question Title * 27. The art workshops helped participants build resilience. Strongly agree Agree No change/not sure Disagree Strongly disagree N/A Question Title * 28. The art workshops helped build and improve adult-child relationships. Strongly agree Agree No change/not sure Disagree Strongly disagree N/A Question Title * 29. The art workshops helped build and improve relationships between participants and others in their lives. Strongly agree Agree No change/not sure Disagree Strongly disagree N/A Question Title * 30. The art workshops helped participants build a sense of self-efficacy and agency. Strongly agree Agree No change/not sure Disagree Strongly disagree N/A Question Title * 31. The art workshops helped participants strengthen adaptive skills and self-regulatory capacities. Strongly agree Agree No change/not sure Disagree Strongly disagree N/A Question Title * 32. Would you or your organization have an art program without the support of AWBW? Yes No YOUR ART WORKSHOP PARTICIPANTS Question Title * 33. What are the life experiences of those you serve through art workshops? Select all that apply. Child abuse / neglect Climate / environmental trauma Community violence (gang violence, police violence, mass shootings, etc.) Domestic violence Elder abuse Foster care/adoption Grief/loss (including COVID-related) Homelessness Human trafficking Illness (including cancer and chronic disease) Immigration (family separation, deportation, refugees/asylees, etc.) Incarceration Mental health needs (DSM, suicide ideation, etc.) Military / veteran (including combat-related PTSD) Oppression against LGBTQIA+ Pandemic-related stress People who do harm / batterers People who have experienced war Poverty Racism and marginalization Religious trauma Restorative / transformative justice (individual and community reconciliation) Secondary/vicarious trauma Sexual assault Student-related stress (bullying, peer pressure, grief, etc.) Substance use Suicidality Victims of crime Other (please specify below) What percentage of your participants are from the following ethnic backgrounds? Your total allocation across all ethnic backgrounds should add up to 100%. Please use your best estimations. Question Title * 34. What percentage of your participants are Alaskan Native? 0% of participants 50% of participants 100% of participants Clear i We adjusted the number you entered based on the slider’s scale. Question Title * 35. What percentage of your participants are American Indian or Native American? 0% of participants 50% of participants 100% of participants Clear i We adjusted the number you entered based on the slider’s scale. Question Title * 36. What percentage of your participants are Asian? 0% of participants 50% of participants 100% of participants Clear i We adjusted the number you entered based on the slider’s scale. Question Title * 37. What percentage of your participants are Black or African American? 0% of participants 50% of participants 100% of participants Clear i We adjusted the number you entered based on the slider’s scale. Question Title * 38. What percentage of your participants are Latinx? 0% of participants 50% of participants 100% of participants Clear i We adjusted the number you entered based on the slider’s scale. Question Title * 39. What percentage of your participants are Middle Eastern? 0% of participants 50% of participants 100% of participants Clear i We adjusted the number you entered based on the slider’s scale. Question Title * 40. What percentage of your participants are multi-racial? 0% of participants 50% of participants 100% of participants Clear i We adjusted the number you entered based on the slider’s scale. Question Title * 41. What percentage of your participants are Native Hawaiian or other Pacific Islander? 0% of participants 50% of participants 100% of participants Clear i We adjusted the number you entered based on the slider’s scale. Question Title * 42. What percentage of your participants are White? 0% of participants 50% of participants 100% of participants Clear i We adjusted the number you entered based on the slider’s scale. Question Title * 43. What percentage of your participants are of an ethnicity not listed above? 0% of participants 50% of participants 100% of participants Clear i We adjusted the number you entered based on the slider’s scale. Question Title * 44. For participants whose ethnic identities are not listed above, please specify their ethnicities below. What are the gender identities of your participants? Your total allocation across all gender identities should add up to 100%. Please use your best estimations. Question Title * 45. What percentage of your participants identify as female? 0% of participants 50% of participants 100% of participants Clear i We adjusted the number you entered based on the slider’s scale. Question Title * 46. What percentage of your participants identify as male? 0% of participants 50% of participants 100% of participants Clear i We adjusted the number you entered based on the slider’s scale. Question Title * 47. What percentage of your participants identify as non-binary? 0% of participants 50% of participants 100% of participants Clear i We adjusted the number you entered based on the slider’s scale. Question Title * 48. What percentage of your participants identify as transgender? 0% of participants 50% of participants 100% of participants Clear i We adjusted the number you entered based on the slider’s scale. Question Title * 49. What percentage of your participants have a gender identity not listed above? 0% of participants 50% of participants 100% of participants Clear i We adjusted the number you entered based on the slider’s scale. Question Title * 50. For participants whose gender identities are not listed above, please specify how they identify below. Question Title * 51. What percentage of your participants are at or below the Federal Poverty Line? Website: 2024 Federal Poverty Level Guidelines 0% of participants 50% of participants 100% of participants Clear i We adjusted the number you entered based on the slider’s scale. PROFESSIONAL & PERSONAL IMPACT Question Title * 52. How would you rate the impact of our program in bringing about positive change in your personal life? Extremely effective Very effective Somewhat effective Not so effective Not at all effective Question Title * 53. How would you rate the impact of our program in bringing about positive change in your professional life? Extremely effective Very effective Somewhat effective Not so effective Not at all effective Question Title * 54. Please select all the ways our program has brought about positive change in your personal and professional life. Gained a deeper understanding of trauma and its impact Enhanced creativity and innovative thinking Increased self-confidence as a facilitator / leader Developed stronger interpersonal relationships with colleagues Enhanced ability to empathize with and support others Increased resilience and adaptability to challenges Developed a stronger sense of self-awareness and self-compassion Gained a deeper understanding of one's own trauma history and its impact Improved ability to identify and/or manage stress and burnout Enhanced ability to use art as a tool for self-expression and healing Developed a stronger sense of community and belonging Gained a deeper understanding of ethical considerations in trauma-informed practice Improved ability to advocate for and/or meet the needs of trauma survivors Other (please specify) Question Title * 55. Can you share specific examples of how our program has positively impacted your life, both personally and/or professionally? Please elaborate on any significant changes, skills gained, or challenges overcome. Question Title * 56. How would you rate the level of stress and burnout in your life? High Medium Low Little to none Question Title * 57. How likely are you to recommend the Windows program and our two-day training to someone you know? Highly likely Likely Neutral Unlikely Highly unlikely Question Title * 58. Simply spreading the word about AWBW's trainings and resources can make an impact. Would you like to join our Training & Outreach Team to help share about our upcoming trainings? Yes Not at this time Question Title * 59. Do you know of any individuals or organizations that might be interested in joining our community of art facilitators? If so, please provide their names, email addresses, and any relevant website information. Question Title * 60. Please share one word that sums up your experience with art facilitation in 2024. Question Title * 61. Anything else you'd like to share with us? Question Title SUBMIT