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pdfOMB No. 3135-0130: Expires 4/25/2014
Dear Friend,
Today, along with thousands of other Americans, you played an important role in the
cultural life of our country by attending an arts program.
The National Endowment for the Arts supports hundreds of arts performances,
exhibitions and film screenings every year, including the event you just attended.
Now, I invite your feedback.
Please complete this questionnaire when you get home, preferably within 24 hours.
Your responses will help the Endowment understand how audiences are impacted by
the performances, exhibitions and film screenings it funds.
You must be at least 18 years old to respond. Your answers are anonymous and
confidential, so please be as candid as possible.
Sincerely,
Rocco Landesman
Chairman
Paperwork Burden Statement
Your participation is voluntary. Under the Paperwork Reduction Act of 1995, no persons are required to
respond to a collection of information unless such collection displays a valid Office of Management and
Budget (OMB) control number. The OMB control number for this interview is displayed at the top right of this
page. The estimated time to complete this questionnaire is 10 minutes. Please contact Elizabeth Holland,
Project Director, NEA ([email protected]) if you have any questions regarding the estimated time burden or
any other aspect of this data collection
Begin Here
The following questions pertain to the live performance you just attended. Before answering these
questions, you may wish to close your eyes for a moment and imagine yourself back at the
performance, thinking about what you saw, heard, and felt. Please turn the page to begin the
survey.
1.
Did the performance expose you to… (mark ‘yes’ or ‘no’ for each item)
No
Yes
0
1
Not Sure or Not
Applicable
99
0
1
99
0
1
99
0
1
99
A. …a style or genre of art you had not
previously seen?
B. …an artist, ensemble or company you had
not previously seen?
C. …an unfamiliar work of art by an artist
you were already familiar with?
D. …a different interpretation of a work of
art you had previously seen?
2.
Did you lose track of time and get absorbed in the performance?
☐ No (skip to
the next
question)
3.
4.
☐ Yes How absorbed were you? (circle a number)
A Little
1
2
Somewhat
3
4
Completely
5
Following is a list of words that might describe how the performance made you feel. Circle a
number for each word, indicating whether it describes your feelings Not at all, A little or A lot.
Please respond in reference to how the art itself made you feel, not in reference to how the venue
made you feel, or anything besides the art.
Not at all
A little
A lot
Refreshed
0
1
2
Amused
Peaceful
Inspired
Amazed
Fulfilled
Compassionate
Bored
Emotionally drained
Upset
Sad
Broken hearted
Offended
Confused
0
1
2
0
0
0
0
0
0
0
0
0
0
0
0
1
1
1
1
1
1
1
1
1
1
1
1
2
2
2
2
2
2
2
2
2
2
2
2
In your own words, how did the performance make you feel?
_______________________________________________________________________________
_______________________________________________________________________________
5.
As a result of this experience, are you better able to explain to other people what you like or
don’t like in arts performances? (mark one)
Page 2 of 5
☐ No change
6.
☐ Yes, a lot
Did you leave the performance with any ideas for new or different ways to be creative in your
own life or work? (mark one)
☐ No
7.
☐ Yes, somewhat
☐ Yes
Did the performance raise questions in your mind that you would like to ask the performers or
creators of the work? (mark one)
☐ No
☐ Yes 7A. If “Yes”, what were one or two of your questions?
_______________________________________________________________________________
_______________________________________________________________________________
Next, please answer a few questions about what the performance made you think about.
8.
9.
Were your eyes opened to an issue, idea or point of view that you had not fully considered?
☐ No (skip to
☐ Yes How much were your eyes were opened? (circle a
the next
question)
number)
A Little
1
Somewhat
3
4
Completely
5
Did the performance explore or celebrate your own cultural background or heritage?
☐ No (skip to
the next
question)
10.
2
☐ Yes How much did it do this? (circle a number)
A Little
1
2
Somewhat
3
4
Completely
5
Did the performance give you a new appreciation for people who are different than you, or for
a culture other than your own?
☐ No (skip to
the next
question)
☐ Yes How much did it do this? (circle a number)
A Little
1
2
Somewhat
3
4
Very Much
5
If you do not live in the community where this performance took place, skip questions 11 and 12. Go
directly to question 13.
11.
Did attending this performance give you a sense of pride in the community where you live?
☐ No (skip to
the next
question)
☐ Yes How much did it do this? (circle a number)
A Little
1
2
Somewhat
3
4
Very Much
5
Page 3 of 5
12.
Did attending this performance help you see things you have in common with other people
who live or work in your community?
☐ No (skip to
the next
question)
☐ Yes How much did it do this? (circle a number)
A Little
1
2
Somewhat
3
4
Very Much
5
Next, please answer a few questions about your ticket to the performance.
13.
Who purchased your ticket or paid your entrance fee? (mark one)
☐ I did
14.
☐ Someone else did
☐ No ticket or fee was required (skip to question 15)
If you had a ticket, what type of ticket did you hold? (mark one)
☐ Subscription or series ticket
☐ Complimentary ticket
☐ Individual ticket
☐ Special group ticket
Next, please answer a few questions about your prior experience with arts.
15.
During the last 12 months, how many times did you attend… (write in a number for each item, AF; if you did not attend in the last 12 months, please write “0”)
Write in a number for each item
A. …a live dance event?
B. …a live theater event?
C. …a live music event?
D. …an art museum or gallery, or visual art or design
exhibition?
E. …an art film or a film screening?
F. …a live book reading or a poetry or storytelling
event?
16.
Have you had any lessons, classes, or experience with performing…(circle a number for each
item)
No
Yes – earlier in
Yes – this is a current
my life
activity for me
A. Dance
0
1
2
B. Theater or Theater Arts
0
1
2
C. Music
0
1
2
D. Book readings, poetry or storytelling
0
1
2
17.
Have you had any lessons, classes, or experience with exhibiting or showing…(circle a number
for each item)
No
Yes – earlier in
Yes – this is a current
my life
activity for me
A. Visual Arts (any medium)
0
1
2
B. Crafts
0
1
2
C. Film or media arts
0
1
2
Finally, please answer a few questions about yourself. Your answers are anonymous and confidential.
18.
In what year were you born? (write in year) ________________________
Page 4 of 5
19.
What is your sex? (mark one)
☐ Male
☐ Female
20.
What is the highest level of school you have completed or the highest degree you have
received? (mark one)
☐ Less than 9th grade
☐ Some college
☐ Some high school
☐ College graduate
☐ High school grad (GED)
☐ Advanced graduate degree
21.
Do you consider yourself to be Hispanic or Latino? (mark one)
☐ No
22.
☐ Yes
Which category or categories best describe your race? (mark all that apply)
☐ White
☐ Asian
☐ Black or African American
☐ Native Hawaiian or Other Pacific Islander
☐ American Indian or Alaska Native
Page 5 of 5
| File Type | application/pdf |
| File Title | September 12, 2003 |
| Author | Alan Brown |
| File Modified | 2011-12-09 |
| File Created | 2011-12-09 |