Demographic Survey 2020-21
In order to receive government and foundation support, it is necessary for Kentucky Shakespeare to keep an accurate record of our audience demographic statistics. All responses will be treated with the strictest confidence.

Please complete this Demographic Survey and submit it to KY Shakespeare at the end of the program.

Kentucky Shakespeare does not discriminate in any of its programming or hiring practices on the basis of race, color, religion, national origin, age, sex, or disability.
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Teacher Last Name *
School/Venue *
Name of Education Performance/Workshop *
Required
Date of Visit *
MM
/
DD
/
YYYY
Please Note Actual Numbers of Attendance and Demographics:
Total Student Attendance *
Black or African American
White
Hispanic or Latino
American Indian or Alaska Native
Asian
Native Hawaiian or Pacific Islander
Multi-Racial/Other Not Listed
Can you list any special needs that were accommodated in the program? (I.E. Visual Impairment, Autism, Physical Mobility, etc.) Do you think that we were able to meet their needs or were there areas of improvement that we can focus on for the future? *
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