This event/film is brought to you with the support of the BFI, awarding funds from the National Lottery in support of giving everyone, everywhere in the UK the opportunity to enjoy and learn from the richest and most diverse range of filmmaking. We are carrying out this survey to learn if our activities are helping to achieve this aim. Thank you for your time. 

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* 1. Venue

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* 2. Date of screening

Date

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* 3. Film Title

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* 4. Overall, how would you rate your experience at this screening?

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* 5. Have you attended a event/screening at this venue before?

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* 6. Have you attended a screening run by Flicks in the Sticks before?

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* 7. Any comments?

This section is about you and your answers are anonymous. Completing it will help us evaluate the effectiveness of our work to boost audience diversity and inclusivity. The questions are aligned to the Office for National Statistics' categories so we can compare our audience profile to the general population. Thank you for your time. 

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* 8. Gender

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* 9. Gender Identity. Is your gender the same now as it was assigned at birth?

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* 11. Sexual Orientation

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* 12. Do you identify as D/deaf, and/or do you consider yourself to have a disability or long term health condition?

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* 13. Socioeconomic Background. Do you consider yourself to be from a disadvantaged background?

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* 14. Religion/Belief 

Ethnic Origin. Please tell us about your ethnic origin:

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* 15. South Asian / South Asian British

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* 16. East Asian / East Asian British (including South East Asian / South East Asian British)

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* 17. Black / African / Caribbean / Black British

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* 18. Mixed / Multiple ethnic groups

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* 19. White

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* 20. Other ethnic group

Thank you for completing this survey. 
Responses to this survey will be collated and analysed by the event organiser. The collated data will be shared with the funders of this activity, the BFI. Data is collected and processed anonymously.

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