Brick by Brick Feedback Form

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Brick by Brick Feedback Form

Please fill out this form after you've read, watched, or listened to Brick by Brick coverage.

How did you connect with Brick by Brick? (check all that apply) *

Read an Article

Listened to a Podcast

Watched a Video on Broadcast or Online

Engaged with a Social Media Post

Attended an Event

I Have Not Connected with Brick by Brick

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After reading, watching or listening to our coverage, how has your understanding of the housing, health or environmental challenges facing our communities changed, if at all? (select one) *

My understanding has not changed

I better understand the challenges

I fully understand the challenges

After reading, watching or listening to our coverage, how likely are you to learn more about these challenges and solutions? (i.e. having a conversation, listening to another podcast, reading additional articles, etc.) (select one)

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After reading, watching or listening to our coverage, how likely are you to take action as a changemaker to help solve these challenges? (i.e. getting involved in your community, volunteering your time, voting, etc.) (select one)

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After reading, watching or listening to our coverage, how confident are you about our community's ability to address the challenges we’re facing? (select one)

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After reading, watching or listening to our coverage, how likely are you to turn to public media for coverage of issues like these? (select one)

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What's your neighborhood? *

What's your zip code? *

Complete this sentence: Brick by Brick showed me ______ *

Please share with us your feedback about Brick by Brick coverage:

Please share with us your experience with the issues covered by Brick by Brick, if any:

Age range (select one)

Age: Under 30

Age: Between 31 and 50

Age: Between 51 and 70

Age: 71+

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How do you identify? (select one)

American Indian or Alaska Native or Indigenous or First Nations

Arab or Middle Eastern or North African

Asian or Asian American

Chicano(a) or Hispanic or Latino(a) or Latinx or Spanish origin

Native Hawaiian or Pacific Islander

Black or African American, non-Hispanic

White or Caucasian or European American, non-Hispanic

Two or more races/ethnicities

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Highest level of education completed (select one)

Some High School

High School Diploma/GCSE

Trade School or Professional Certification

Some College

Associate’s Degree

Bachelor’s Degree

Master’s Degree

Ph.D., J.D., M.D. or Higher or In Combination

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