We've detected that Javascript is not enabled. It is required for an optimal survey taking experience.
Please check your browser's settings and make sure Javascript is turned on. Learn how to enable Javascript.

Skip survey header

A Good Life Survey - 2023

ThinkTV / CET - Move to Include - A Good Life Screening & Panel Discussion 2023

Please take our brief survey about your experience watching the screening of A Good Life and the panel discussion that followed.

Move to Include is a national initiative that uses the power of public media to build a more inclusive community by inspiring and motivating people to embrace different abilities and include all people in every aspect of community life.

Your feedback helps us track the local impact of this initiative, gives us insight into ways to enhance our efforts, and is shared with our funders. Thank you for your input.

1. Using TV, online resources and local events, Move to Include is designed to help open the minds and hearts of our community to people and their disabilities. Do you see this effort as an excellent, good, fair or poor idea for a public broadcasting organization like ThinkTV / CET to participate in?

2. How likely is it that you would recommend this documentary to a friend or colleague?

	0	1	2	3	4	5	6	7	8	9	10
Not at all likely	0	1	2	3	4	5	6	7	8	9	10	Extremely likely

3. How did the program impact you? Please check any that apply:

I learned something about disabilities that I hadn't known before.
I learned something about people who have disabilities that I hadn't known before.
I was emotionally moved by what I saw or heard.
I was inspired to do something positive that I might not otherwise have done before that program.
Some other impact not described above (if so, please describe briefly). Please enter an 'other' value for this selection.

4. Do you have an increased knowledge and understanding of aging and disabilities after seeing the film clips and listening to the panel discussion?

5. How, if at all, did the program open your mind and your heart -- provide you with any new insights or understanding -- or perhaps even encourage you to do something positive for someone who has disabilities?

6. Do you have any close friends or family members who have disabilities of any type?

7. Do you yourself have any type of disability?

8. How has your understanding of people with disabilities and aging changed after watching the screening and discussion?

9. What is your zip code?

10. Your age:

11. Do you have any other comments regarding the documentary and /or discussion?

12. Ask staff a question about the documentary or discussion.

	Name
	Email address
	Phone Number
	Question