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Focus Group
Pre-Participation Survey for @WorldUpsideDown
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* Indicates required question
Email
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
Job Title
*
Your answer
Mobile Phone
*
Your answer
Instagram
*
What's your Instagram handle? (If you don't have one, just type n/a.)
Your answer
Facebook
*
What's your Facebook handle? (If you don't have one, just type n/a.)
Your answer
Twitter
*
What's your Twitter handle? (If you don't have one, just type n/a.)
Your answer
Other Social Media
*
Is there another social media platform you prefer and use freauently? (If you don't have one, just type n/a.)
Your answer
Experience
*
How many years have you been teaching?
Your answer
School Name
*
Your answer
School Website
*
Your answer
Principal Name
*
Or director supervisor name (like Fine Arts Director, etc.) Please specify which.
Your answer
Principal Email
*
Or director supervisor email (like Fine Arts Director, etc.) Please specify which.
Your answer
Teaching Environment
*
Public School
Private School
After School
Homeschool
Other:
Required
Student Grades
*
Check all that apply for students taking the theater course.
K
1
2
3
4
5
6
7
8
9
10
11
12
Required
Student Gender
*
Demographics are important for grants and non-profit funding purposes. Please check all that apply.
0-10 Females
11-20 Females
21-30 Females
31-40 Females
41-50 Females
0-10 Males
11-20 Males
21-30 Males
31-40 Males
41-50 Males
Other:
Required
Student Ethnicity
*
Demographics are important for grants and non-profit funding purposes. Please check all that apply.
Caucasion
African American
Hispanic
Asian
Bi-racial
Native American Indian
Middle Eastern
Other:
Required
Student Specialities
Is there anything you think is unique about your students or relevant to be noted for purposes of the focus group?
Your answer
Inspiration
*
Why did you decide to particpate in our focus group?
Your answer
Curriculum Sources
*
What kind of curriculum resources do you generally buy for your classroom and which companies do you purchase them from?
Your answer
Curriculum Budget
*
How much are you given yearly to spend on resources for your classes?
Your answer
DonorsChoose
*
How many DonorsChoose projects have you gotten fully funded?
0
1
2
3
4
Other:
Time Funded
*
How long did it take you to get your project fully funded?
Not funded yet
1-2 weeks
2-3 weeks
4-5 weeks
Other:
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
https://www.instagram.com/wudhub/
https://www.facebook.com/wudhub/
https://www.twitter.com/wudhub/
None
Required
Email Subscription
*
Can we add you to our email list to receive information about World Upside Down?
Yes
No
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.
Weekly emails
Weekly phone calls
Weekly texts
Respond to requests as needed.
Receive support from World Upside Down after business hours.
Receive support from World Upside Down on the weekend.
Other:
Required
Questions
Do you have any questions or concerns about the focus group that haven't been discussed yet?
Your answer
Send me a copy of my responses.
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