Plus Media Solutions x E2AC Impact Assessment Scale

Instructions: Please rate the following statements based on your personal impressions about the film you just watched. When responding to the questions, pick the rating option that first comes to your mind.

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Your completion of this scale is voluntary. You can withdraw anytime without any penalty. The responses you provide will help us evaluate this questionnaire. Your responses will only be used after removing any personal information and at an aggregate level. To give consent, please check the box below: *
Required
Title of the Film *
Please enter the title of the film for which you are completing this scale. 

1. After watching the film, I learned new information about the presented subject matter/cause:

*

2. After watching the film, I think or feel differently about the presented subject matter/cause:

*

3. I am motivated and able to share the new information I learned with people in my community (e.g., family, friends) or others:

*

4. I am convinced that the subject matter is a worthy cause and should be supported:

*

5. The film presented specific things viewers like myself can do to get involved in OR contribute to the cause:

*

6. The film presents credible/trustworthy sources of information:

*

7. The subject matter is relevant to me personally or to my community:

*

8. The film responds to the interests and needs of the community being impacted/portrayed in the film:

*
9. The film was entertaining or held my interest. *

10. To what extent have your intentions to engage in the following behaviors changed after seeing this film?

*
Not at all (0)
A little bit (1)
Somewhat (2)
Quite a bit (3)
Very much (4)
Learn more about the subject matter/cause
Participate in volunteering activities about the cause
Donate money to this cause OR participate in activities to raise funds
Share/recommend this movie to my family/friends/community
Share content on social media about the topic/cause

11. How much would the following factors hinder (i.e., limit) your ability or willingness to engage in those behaviors listed in the previous question?

*
Not at all (0)
A little bit (1)
Somewhat (2)
Quite a bit (3)
Very much (4)
Lack of time
Financial factors
Personal skills or knowledge
Lack of support from community
Social/Societal Stigma
Negative impact or reactions from my community
This is the end of the questions regarding the film. Below are some demographic questions to help us understand our user samples. Your responses will be used at an aggregate level and will never be shared with others.
What is your current age? *
What is your gender identity?
Highest education level you completed:
Clear selection
Please select all race/ethnicity categories that describe you
This is the end of the questionnaire. Thank you for your time and participation. 
We are interested in learning how viewers' impressions might change in the future. If you would like to be a part of this ongoing study and hear about future participation opportunities, please provide your email address belowPlease note that by providing your email address, you are giving consent to be contacted via email. This is completely voluntary, and your email will not be shared with others or used for any other purpose
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