What city are you in? And what organization are you a part of? *
Your answer
Where did you hear about Driving with Selvi? *
What were your goals for these screenings? *
Required
Did you achieve your goals for the screening? *
Did not at all
Exceeded expectations
If this was a fundraiser how much did you raise and for what organization? *
Your answer
How many people attended the event? *
Your answer
Audience Demographics: How many people attended in the following age brackets? Under 18
Your answer
Audience Demographics: 20-30
Your answer
Audience Demographics: 30 - 50
Your answer
Audience Demographics: 50+
Your answer
Audience Demographics: Approx How many were male attendees? How many were female attendees? Gender Neutral? *
Your answer
If you organized a post screening panel please tell us who was on it? What issues were brought up? What kind of involvement was there from the audience? *
Your answer
Please rate the general audience reaction/reception *
Not well received at all
Very well received
Did you develop any partnerships through the screenings? *
Your answer
How was your experience as a host? Did you find the community screening toolkit helpful? Is there anything we can do better? *
Your answer
Could you please provide a quote you would be happy for us to use in the future? *
Your answer
A copy of your responses will be emailed to the address you provided.