Focus Group
Pre-Participation Survey for @WorldUpsideDown
Email address *
First Name *
Last Name *
Job Title *
Mobile Phone *
Instagram *
What's your Instagram handle? (If you don't have one, just type n/a.)
Facebook *
What's your Facebook handle? (If you don't have one, just type n/a.)
Twitter *
What's your Twitter handle? (If you don't have one, just type n/a.)
Other Social Media *
Is there another social media platform you prefer and use freauently? (If you don't have one, just type n/a.)
Experience *
How many years have you been teaching?
School Name *
School Website *
Principal Name *
Or director supervisor name (like Fine Arts Director, etc.) Please specify which.
Principal Email *
Or director supervisor email (like Fine Arts Director, etc.) Please specify which.
Teaching Environment *
Required
Student Grades *
Check all that apply for students taking the theater course.
Required
Student Gender *
Demographics are important for grants and non-profit funding purposes. Please check all that apply.
Required
Student Ethnicity *
Demographics are important for grants and non-profit funding purposes. Please check all that apply.
Required
Student Specialities
Is there anything you think is unique about your students or relevant to be noted for purposes of the focus group?
Inspiration *
Why did you decide to particpate in our focus group?
Curriculum Sources *
What kind of curriculum resources do you generally buy for your classroom and which companies do you purchase them from?
Curriculum Budget *
How much are you given yearly to spend on resources for your classes?
DonorsChoose *
How many DonorsChoose projects have you gotten fully funded?
Time Funded *
How long did it take you to get your project fully funded?
Completion Date *
By what date do you intend to complete the lessons?
MM
/
DD
/
YYYY
Social Media *
Have you connected with us on social media? Check all that apply. You can find us at @wudhub
Email Subscription *
Can we add you to our email list to receive information about World Upside Down?
Required
Customer Service *
It is our goal throughout the Focus Group to support you in every way possible. Please let us know how you want us to communicate with you.
Required
Questions
Do you have any questions or concerns about the focus group that haven't been discussed yet?
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