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4-H ARTS AND COMMUNICATIONS EVALUATION SURVEY Please answer the following questions based on your experience in the 4-H Arts and Communications Program.
I. ABOUT YOU 1. How many years have you participated in 4-H Arts and Communication activities? ___ # yrs. 2. How old are you now? _______yrs. 3. In which county do you live? _____________________ 4. What is your gender? (Circle one) a) male b) female 5. What is your grade in school? (Circle one)
a) 6th grade b) 7th grade c) 8th grade d) 9th grade
e) 10th grade f) 11th grade g) 12th grade h) out of high school
6. How would you describe the area where you live? (Circle One)
a) Country b) Small Town
c) Suburb d) City
7. What is your ethnic background? (Circle One)
a) White (European American) b) Hispanic / Latino c) North American Indian
d) African American e) Asian American f) Other __________
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8. Which Arts and Communications activity are you in now? (Check all that apply)
VISUAL ARTS ___ Photography ___ Videography ___ Ornaments ___Weaving ___Candle making ___Jewelry making ___Celebrate Art ___Palette of Fun ___Art in your future ___Leathercraft ___Stencil painting ___Tin punch ___Block printing
___Metal enameling ___Drawing/painting ___Ceramics ___Fiber arts ___Primitive arts ___Tie dying ___String/wire art ___Calligraphy ___Basketry ___Print making ___Rosemaking ___Liquid embroidery ___Rug hooking
___Felt & furs ___Plastercraft ___Cross stitching ___Needlepoint ___Glasswork ___Macrame ___Rubber stamping ___Sand sculpting ___Clay sculpting ___Pottery ___Tole painting ___Mosaics ___Plastics
___Wood burning ___Decorative boxes ___Wearable art ___Textile painting ___Paper art ___Wood art ___Decorative wreath ___Punch quilt ___Soap making ___Seed art
PERFORMING ARTS
___Folk arts ___Dance ___Theater acting
___Theater puppetry ___Theater stagecraft ___Theater clowning
___Clowning ___Puppetry ___Juggling
___Mine ___Yo-Yo ___Music
COMMUNICATIONS ___Demonstrations ___Speaking
___Communications ___Creative writing
___Posters ___Sign language
___Speaking
OTHER ARTS PROJECTS ___Scrapbooking ___Decoupage ___Collections ___Computers ___Other: Please list ____________________________________________
COUNTY EVENTS ___Music Fest ___Drama Fest ___Speaking Fest
___Art Fest ___Art & Craft Fest
___Chorus/choir Fest ___Band Fest
___Demonstration ___Creative writing
Other: Please list ___________________________________________________________
STATE TEAMS ___ Art team
___Drama company
___Showcase singers
STATE EVENTS ___Art camp ___Art leadership lab ___Foto follies Other: Please list______________________________________________________________
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II. ABOUT YOU and YOUR 4-H ARTS AND COMMUNICATION ACTIVITY As a result of participating in the 4-H Arts and Communication activities: (Circle one answer) 9. I try to think about or try to create
things in new ways Almost never
Some- times
Usually Almost always
Don’t know
10. I am comfortable doing creative
activities Almost never
Some- times
Usually Almost always
Don’t know
11. I feel unafraid to make mistakes Almost
never Some- times
Usually Almost always
Don’t know
12. I am comfortable when talking about
my artwork with judges or critics Almost never
Some- times
Usually Almost always
Don’t know
13. I know how to prepare for a visual or
performing art demonstration Almost never
Some- times
Usually Almost always
Don’t know
14. I am comfortable helping younger or
less experienced people with their arts and communications projects
Almost never
Some- times
Usually Almost always
Don’t know
15. I feel confident that I can express myself through the arts
Almost never
Some- times
Usually Almost always
Don’t know
16. I am comfortable performing in front of others
Almost never
Some- times
Usually Almost always
Don’t know
17. I am confident that I can make good decisions about my art projects
Almost never
Some- times
Usually Almost always
Don’t know
18. I perform or display my art in public as
a way to contribute to my community Almost never
Some- times
Usually Almost always
Don’t know
19. I am thinking about a future career
related to visual or performing arts
NO
YES
Don’t know
20. I understand how I can contribute to
my community through the arts
NO
YES Don’t know
21. I have increased my skill in the
performing or visual arts
NO
YES
Don’t know
22. I have a good understanding of the role
of art in our society
NO
YES
Don’t know
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III. ABOUT YOU and YOUR EVERYDAY LIFE
To what extent has participating in the 4-H Arts and Communications Program helped you with the following: (Circle one answer) 23. to be able to connect and work with
adults
Not at all Some-what
Quite a bit
A great deal
Don’t know
24. to feel comfortable in new situations Not at all Some-what
Quite a bit
A great deal
Don’t know
25. to feel comfortable in group settings
with people of mixed ages Not at all Some-
what Quite a
bit A great
deal Don’t know
26. to feel connected to your community
and the world around you
Not at all Some-what
Quite a bit
A great deal
Don’t know
27. to be able to make others understand you
Not at all Some-what
Quite a bit
A great deal
Don’t know
28. to understand the point of view of others
Not at all Some-what
Quite a bit
A great deal
Don’t know
29. to be able to let others know how you feel when working in a group
Not at all Some-what
Quite a bit
A great deal
Don’t know
30. to be able to find a solution when group members disagree on something
Not at all Some-what
Quite a bit
A great deal
Don’t know
31. to get along with people who have different interests and opinions
Not at all Some-what
Quite a bit
A great deal
Don’t know
32. to consider multiple solutions when faced with a challenge
Not at all Some-what
Quite a bit
A great deal
Don’t know
33. to be comfortable working on
challenging problems Not at all Some-
what Quite a
bit A great
deal Don’t know
34. to seek the opinion of others when
working on a difficult task Not at all Some-
what Quite a
bit A great
deal Don’t know
35. to discuss decisions you make with
others Not at all Some-
what Quite a
bit A great
deal Don’t know
36. to think about choices before making a
decision
Not at all Some-what
Quite a bit
A great deal
Don’t know
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37. to think about what might happen because of the choice you make
Not at all Some-what
Quite a bit
A great deal
Don’t know
38. to take responsibility for your
decisions Not at all Some-
what Quite a
bit A great
deal Don’t know
IV. ABOUT YOUSELF Now, a few questions about YOU. Again, think about your experience in the Arts and Communication Program. To what extent has that participation helped you with the following: (Circle one answer) 39. to feel good about yourself Not at
all Some- what
Quite a bit
A great deal
Don’t know
40. to like the way others see you Not at
all Some- what
Quite a bit
A great deal
Don’t know
41. to feel strong enough to handle
difficult situations Not at
all Some- what
Quite a bit
A great deal
Don’t know
42. to develop your motivation to do your
best Not at
all Some- what
Quite a bit
A great deal
Don’t know
43. to be able to solve problems on your
own Not at
all Some- what
Quite a bit
A great deal
Don’t know
44. to know how to do things for others in
your community Not at
all Some- what
Quite a bit
A great deal
Don’t know
45. Do you participate in other arts and/or communications activities outside of 4-H such as school art classes, school chorus, band or music classes, or private lessons? (Circle ONE)
a. YES If YES, please go to Question #46 and continue b. NO If NO, please go to Question #48 and continue
46. Please list your other arts/communication activities: 47. How is the 4-H arts and communication activity (activities) different from the other activities in which you participate?
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48. Are there other types of arts and communication activities available in your community that you could participate in if you wanted to?
a. YES b. NO
49. Please include any other comments you would like to add regarding your participation in the 4-H Arts and Communication program. THANKS FOR COMPLETING THIS SURVEY! YOUR CONTRIBUTION IS VERY IMPORTANT.
