In Football We Trust Evaluation Toolkit
Thank you for partnering with ITVS to present Indie Lens Pop-Up screenings of In Football We Trust in your
community! The enclosed evaluation tools will help us measure our success in raising awareness, increasing
knowledge, and inspiring action amongst event participants nationwide. Please help us capture feedback from
participants at your events by distributing copies of this survey at your event(s).
We will prepare a summary report of national findings from these surveys for our funders and the filmmakers.
We will share a summary of these results with you, including the results for your city.
Included in the toolkit are:

A paper survey for you to photocopy for distribution to all participants at your event(s). IMPORTANT
NOTE: there are now two parts to the survey. The first page (Part 1) is to be completed before the film
screening, and the second page (Part 2) is to be completed after the film screening.

A package of 50 Indie Lens Pop-Up pens that you can make available to your audience members to
complete the survey.
Tips to increase the number of surveys collected at your event(s):
1. Place a survey on every seat in your screening room, or post a staff member or volunteer at the
entrance to hand surveys to participants entering the theater
2. Have your moderator make an announcement at the beginning of the event and at the conclusion of the
event, encouraging participants to complete both the pre- and post-screening portions of the survey
3. Announce the $100 Amazon Gift Card raffle as incentive to complete the survey!
4. Post a staff member or volunteer at the exit at the conclusion of the event to collect surveys and remind
participants to complete the survey
5. Place a box or basket, clearly labeled “Completed Surveys” on your information or registration table
Please send all completed paper surveys to:
In Football We Trust Audience Survey
c/o ITVS, Engagement
651 Brannan Street, Suite 410
San Francisco, CA 94107
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Complete both sides of this survey for a chance
to win a $100 Amazon gift card! Provide your email
address on page 2 to enter the prize drawing.
Winners will be announced March 2016.
AUDIENCE SURVEY
PART 1 (Before the Film)
Your feedback will help us understand if we are meeting our mission of engaging with diverse audiences, and will help us
shape future events to better serve community needs. Your responses will remain confidential. Thank you for your time!
1. Location of Screening Event (City/State): ___________________________________
2. Are you a member of your local PBS station?
3. What is your current age group?
4. What is your gender?
[ ] Under 18
[ ] Female
[ ] Male
[ ] yes
[ ] no
[ ] 18 – 34
[ ] not sure
[ ] 35 – 49
[ ] 50 – 69
[ ] Over 70
[ ] Other: _____________________
5. How would you describe yourself?
[ ] Latino/Latina [ ] African American [ ] Asian American
[ ] Pacific Islander [ ] Middle Eastern
[ ] Native American/Native Alaskan [ ] Caucasian [ ] Multiracial [ ] Other: _____________________
6. What is the highest level of formal education you have completed?
[ ] Elementary School [ ] Middle/High School [ ] College/University [ ] Graduate School
[ ] Vocational/Technical School [ ] Not Applicable [ ] Other: _____________________
7. What is your home zip code? __________________________
8. Which of the following best describes your main means of watching films and video? Select no more than two:
[ ] Watch live broadcast television
[ ] Watch on an “over-the-top” device (Apple TV, Roku, Google TV, etc.)
[ ] Watch recorded television (e.g. DVR or TiVo) [ ] Watch online, on a computer (Netflix, Hulu, Amazon, etc.)
[ ] Other: ________________________________
9. Have you ever attended an Indie Lens Pop-Up event before?
[ ] Yes [ ] No [ ] I'm not sure
10. Had you heard of the PBS series Independent Lens prior to attending today’s event?
[ ] Yes [ ] No [ ] I'm not sure
11. How would you rate your current level of awareness about the prevalence of Pacific Islanders in the NFL?
(1 = not at all aware; 5 = very aware)
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2
3
4
5
12. At this moment, on a scale of 1-5 (1 = not at all likely; 5 = very likely) how likely are you to…
Take time to learn more about Polynesian culture
1
2
3
4
Do something to support local youth development programs
1
2
3
4
Donate to or become a member of your local PBS station
1
2
3
4
5
5
5
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AUDIENCE SURVEY
PART 2 (After the Film)
Complete both sides of this survey for a chance
to win a $100 Amazon gift card! Provide your email
address on page 2 to enter the prize drawing.
Winners will be announced March 2016.
Please complete this side of the survey at the conclusion of the event
1. Your email address (optional): _________________________________________________________
2. How would you rate your current level of awareness about the prevalence of Pacific Islanders in the NFL?
(1 = not at all aware; 5 = very aware)
1
2
3
4
5
Please explain:
3. At this moment, how likely are you to… (1 = not at all likely; 5 = very likely)
Take time to learn more about Polynesian culture
1
2
3
4
5
Talk to friends or family about the “Polynesian Pipeline” to the NFL
1
2
3
4
5
Do something to support local youth development programs
1
2
3
4
5
Donate to or become a member of your local PBS station
1
2
3
4
5
Watch In Football We Trust when it airs on Independent Lens on PBS
1
2
3
4
5
Attend future Indie Lens Pop-Ups
1
2
3
4
5
4. If you are likely or very likely to do something to support local youth development programs, please tell us
what action you are considering taking:
5. Please feel free to share additional comments about In Football We Trust and today’s event:
6. Would you like to receive the Independent Lens e-newsletter to receive updates on upcoming films?
[ ] yes
[ ] no
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