Courage to Care Student Survey
Please submit feedback regarding the program you have just completed.
School Name *
Your answer
Year *
Date you attended the program *
MM
/
DD
/
YYYY
Before attending Courage to Care...
Before this program, have you participated in school work on the following topics? *
Class discussion
Read a book or short story
Watched a film
Courage to Care Material
Other
Not discussed in class
Racism and discrimination
Bullying
The Holocaust
Other genocides
After attending Courage to Care...
How did the following messages in the program impact you? *
Not at all Impactful
Somewhat Impactful
Impactful
Very Impactful
Don’t Recall / Not Discussed
Standing up to discrimination and racism
Standing up to bullying
History of the Holocaust in general
Stories of survivors in the Holocaust
Stories of rescuers in the Holocaust
Stories of other genocides
Has the program inspired you in any way? Has it given you any new ideas?
Your answer
Do you have any other comments or feedback? Or is there anything you’d like us to share with the survivor you have heard from?
Your answer
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