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1. Please rate Poverty, Inc. (Required.)

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2. Where did you see the film? (City, State) (Required.)

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3. First Name (Required.)

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4. Last Name (Required.)

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5. Email (Required.)

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6. Which age group do you fall into? (Required.)

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7. List the organization, business, or university you are affiliated with. (Required.)

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8. How likely are you to recommend this film to a friend or colleague? (Required.)

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9. After watching the film, I learned something new about poverty and its root causes. (Required.)

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10. The film will influence my charitable behavior in the future. (Required.)

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11. Which scenes most resonated with you? (Check all that apply) (Required.)

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12. How has watching Poverty, Inc. inspired you to get involved? (Check all that apply) (Required.)

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13. OPTIONAL: Leave a short review of the film that we can publicly share on our social media. (Only leave a review if we have your permission to share your review publicly.)

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14. OPTIONAL: Do you have people or organizations who might love this film? If yes, list them here, and we’ll reach out to you to get connected with them.

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15. OPTIONAL: Additional thoughts? Private feedback or comments for the film team?

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