Liberated Survey
Thank you for agreeing to complete this survey. Completing this survey is completely voluntary, which means you can stop at any time, and you do not have to answer any questions that you don’t want to. There are no right or wrong answers, and everything you say is completely anonymous. That means that no one will ever know your individual responses.

The following questions may bring up stressful or traumatic feelings. If at any point you feel that you cannot continue, you may discontinue the survey with no penalty. If you would like to speak to someone about your experiences, please contact  the MOCSA Crisis Line: (816) 531-0233 or (913) 642-0233 or other trusted adult, advisor or counselor.

Please answer the survey as thoughtfully and honestly as possible. The survey should only take a few minutes.
Please answer all of the questions by marking one of the answer spaces.
Select the answer that comes closest to how you feel.
If any of the questions make you feel uncomfortable, you do not have to answer them - just leave them blank.

Thank you very much for being an important part of our project!
Sign in to Google to save your progress. Learn more
Your Age *
Your Gender *
How did you see the film *
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy