FILM SURVEY - LOVE LOSS LIFE: The Beauty of a Slow Death

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Visit www.lovelosslife.org for details, events and updates!

Title: LOVE, LOSS & LIFE: The Beauty of a Slow Death
Directed and Photographed by Joseph F. Nardelli
Inspired by Michele DeMeo
Editor Sophia Harvey
Audio Sweetening David Leaver
Website: Enrim Design

We are gathering information to help us broaden our audience, locate funds for Part II of the series and identify outreach strategies you may have to share.

Your information is being collected by the producers and will be used to further promote the film in the future.

Thank you for your participation!

Joe Nardelli
Director and Producer

Do you know the subject of the film - Michele Demeo? *

Yes

How do you know Michele? *

Family Member

Close Friend

Professional Associate

Acquaintence

Other:

Required

How long have you known Michele?

1-5 years

5-10 years

10-15 years

All of her life?

Other:

Clear selection

What is your gender?

Female

Male

Other:

Clear selection

How would you describe your initial reaction generally? *

I enjoyed the film

I didn't enjoy the film

I wanted to see more

Other:

Do you have any comments or suggestions to offer?

Say as much or as little as you wish.

In a few words please tell us what you think this film is about?

Would you recommend the film to others? *

Yes

Other:

By the content of the film preview can you suggest what audience is appropriate for this film?

You will be able to expand your answer in the next question.

General Audience

PG 13 Rated

R Rated

Primarily women

Primarily men

All genders

All ages

Other:

What statement do you think best describes the content of this preview?

This is a love film

This is a film about dying

This is a film about living life to its fullest

This is a film about medical procedures

This is a travel film

None of the above

All of the above

Other:

Can you recommend individuals or groups who you think would benefit from viewing this film trailer?

Please provide websites, hyperlinks and/or contact information where possible.

Would you like to be contacted about future events and announcements? *

Please provide name and email in appropriate box below.

YES

What is the best way to reach you?

Please check all that apply.

Phone

Email address

Website

Street address

Fax

Other

My name is...

My phone number is...

My email address is... *

My website is...

Other contact information.

How did you hear about this film? *

Check all that apply

Michele DeMeo

Joe Nardelli

Friend

Family member

Business Associate

FaceBook

Twitter

Internet

Press Release

Magazine

Journal

News Article

Talk Show

Other:

Required

What is your age group? *

Be honest ;-)

15-20

21-30

31-40

41-50

51-60

Over 60

Other:

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