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TheIntersectionofArtandSocialJustice
Youarebeinginvitedtoparticipateinaresearchstudyabouttheeffectsofearlyexposuretoart.This
studyisbeingconductedbyBenjaminCraigandCamillaCummingsfromtheUniversityStudies
DepartmentatPortlandStateUniversity.Thisisanundergraduateclassprojectandisnotintendedfor
publicuse.Theresultswillbekeptconfidentialandyouwillremainanonymous.
Youwereselectedasapossibleparticipantinthisstudybecausewerefocusingonthegeneralstudent
body.
Therearenoknownrisksifyoudecidetoparticipateinthisresearchstudy.Therearenocoststoyoufor
participatinginthestudy.Theinformationyouprovidewillbeusedtounderstandtherelationshipbetween
socialjusticeandexposuretoart.Thequestionnairewilltakeapproximately10minutestocomplete.The
informationcollectedmaynotbenefityoudirectly,buttheinformationlearnedinthisstudyshouldprovide
moregeneralbenefits.
Thissurveyisanonymous.WewillnotcollectIPaddressesoranyotherpersonalinformation.Noonewill
beabletoidentifyyouoryouranswers,andnoonewillknowwhetherornotyouparticipatedinthestudy.
Yourparticipationinthisstudyisvoluntary.Bycompletingandsubmittingthesurvey,youarevoluntarily
agreeingtoparticipate.Youarefreetodeclinetoansweranyparticularquestionyoudonotwishto
answerforanyreason.
Ifyouhaveanyquestionsaboutthestudy,pleasecontactCamillaCummingsatccamilla@pdx.eduorcall
at(541)5144512.

Byclickingacceptattheendofthisform,youareconsentingtoparticipateinthissurvey.Ifyou
donotconsent,pleaseclickdeclinetonavigateawayfromthesurvey.

Doyouconsenttoparticipateinthissurvey?
Yes
No

Areyou18orolder?
Yes
No

AreyouaPSUstudent?
Yes
No

Howdidyouhearaboutthissurvey?
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Fromaclass
Fromapeerorfriend
Fromsocialmedia(e.g.,Facebook)
Other,pleasespecify

Haveanyartformssustainedyourinterestthroughoutyourlife?
Yes
No

Whichformshavesustainedyourinterest?
Music
StudioArt
PerformanceArt
Literary
Other,pleasespecify

Hasyourinterestintheartformbeenrelatedtosocialjustice?
Yes(explainhow)
No

Haveyouusedtheartforminresponsetoasocialinjustice?
Yes
No

Wereyouawareofthesocialissuespresentedinmusicandartofyourteenyears?
Yes
No
Idon'tknow

Howdidyoubecomeawareofthoseissues?
Family
Friends
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Media
School
Other

Haveyoueversoughtoutformsofartonyourown?
Yes
No

Checkallthatapply:
Studioart(I.e.,paintings,sculpture,etc.)
Performanceart(Theatre,dance,etc.)
StreetArt
Music
Photography
Literary
Other,pleasespecify

Doyouconsideryourselfanartist?
Yes
No

Whatkindoftraining,ifany,haveyouhadasanartist?(Checkallthatapply)
None
Classicaltraining(lessons,classes,etc.)
Selftaught
Other,pleasespecify

Whoinfluencedorchosetoreceivethistraining?(Checkallthatapply)
Parents/Guardians
Self
Education/School
Other,pleasespecify

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Pleasechoosewhateverbestreflectsyouropinion

Strongly
Disagree

Disagree

No
opinion/Neutral

Agree

StronglyAgree

Artisaneffectiveplatform

totalkaboutsocialjustice.
Artisanoutletforpeople
experiencingsocial
injustices.

Wereyouofferedanymusic/artprogramsinelementaryschool?
Yes
No
Ican'tremember

Didyouparticipate?
Yes
No

Howengagingwasit?
Notatall
Somewhat
Very

Indicatewhichgradelevelsyoutookamusicorartclass:(Checkallthatapply)
PreK
Kindergarden
ElementarySchool
MiddleSchool
HighSchool
Vocational/TechnicalSchool
CommunityCollege
4YearUniversity
AdvancedDegrees/GraduateSchool

Doyoucomefromanartistic(I.e.,music,studioart,performanceart,etc.)family?
Yes
No
NotApplicable/Don'tknow
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Answeronascalefromnonetoactivelyseekingout.
Clicktowrite
Label1

Whatwasyourlevelof
exposuretoartinthe
aforementioned
categories?

None/No
Exposure

Clicktowrite
Label2

Clicktowrite
Label3

Clicktowrite
Label4

Clicktowrite
Label5

VeryLittle

Average
Exposure

AboveAverage
Exposure

Actively
SeekingOut

Didyourparents/guardiansexposeyoutoanyartwithpoliticalleanings?

Yes
No
Idon'tknow

Canartbeanactofprotest?
Yes
No
Idon'tknow

Canprotestbeanartform?
Yes
Maybe
Noopinion/Don'tknow

Oursocietyneedstochange.
StronglyDisagree

Disagree

NeitherAgreenor
Disagree

Agree

StronglyAgree

Duringyourchildhoodandteenyears,wherewereyouexposedtoart?(Checkallthatapply)
School
Movietheater
Concertvenues
Artmuseum
Artgalleries
Theatre
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Dancestudio
Streetart
Internet
Other,pleasespecify

Whatactionshaveyoutakentoaffectchangeinyourcommunity?(Checkallthatapply)
VolunteerWork
Employment
DonatingMoney
SharingInformation
Voting/GovernmentalInvolvement
Boycotting/Protesting
Other,pleasespecify

Doyouvote?
Yes
No
Prefernottoanswer

Doyouthinkyourvotecounts?
Yes
No
Notsure/Noopinion

Whoholdsdecisionmakingpowerinthiscountry?(Rankfrommostpowertoleastpower)
ThePresident
Congress/ElectoralCollege
Corporations
Religiousleaders
Thepeople
Specialinterestgroups
Other,pleasespecify

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Whichofthefollowingstatementscomesclosesttoyourviews?
Thegovernmentshouldbemoreinvolvedinbusinessandeconomicissuesdomestically.
Thegovernmentshouldbelessinvolvedinbusinessandeconomicissuesdomestically.

Whichofthefollowingstatementscomesclosesttoyourviews?
Therichshouldbetaxedmore.
Therichshouldbetaxedless.
Thetaxesshouldnotbechanged.

Whichofthefollowingstatementscomesclosesttoyourviews?
Thegovernmentshouldspendlesstaxmoneyonmilitary/police.
Thegovernmentshouldspendmoretaxmoneyonmilitary/police.
Thegovernmentshouldspendthesameamountoftaxmoneyonmilitary/policeasitalreadydoes.

Whichofthefollowingstatementscomesclosesttoyourviews?
Anemployerhastherighttomakedecisionsfortheiremployeesbasedoncompanypolitical/religious
preference(I.e.,healthcarebenefits,maternity/paternityleave,drugtesting,etc.)
Anemployerdoesnothavetherighttomakedecisionsfortheiremployeesbasedoncompany
political/religiouspreference(I.e.,healthcarebenefits,maternity/paternityleave,drugtesting,etc.)

Whichofthefollowingstatementscomesclosesttoyourviews?
Immigrationisdestructivetothedomesticworkforce/economy.
Immigrationishelpfulforthedomesticworkforce/economy.
Prefernottoanswer.

Whichofthefollowingstatementscomesclosesttoyourviews?
Librariesareawasteofpublicfunds.
Librariesareagooduseofpublicfunds.

Highesteducationalachievementofyourmother/guardian:
LessthanHighSchool
HighSchool/GED
SomeCommunityCollege
CommunityCollege/Associate'sDegree
Somecollege

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Fouryearcollege/Bachelor'sDegree
VocationalSchool/Certificate
GraduateDegreeorfurther

Highesteducationalachievementofyourfather/guardian:
LessthanHighSchool
HighSchool/GED
SomeCommunityCollege
CommunityCollege/Associate'sDegree
Somecollege
Fouryearcollege/Bachelor'sDegree
VocationalSchool/Certificate
GraduateDegreeorfurther

Religion
PleaseSpecify:
Prefernottoanswer

Employment(anypaidwork)
Unemployed
Seasonal/Temporarywork
Militaryservice
Under10hoursperweek
1120hoursperweek
2130hoursperweek
3140hoursperweek
4150hoursperweek
50+hoursperweek

Inthelast30days,howfrequentlywereyouunsureofwhereyournextmealwascomingfrom?
Never
Infrequently
Sometimes
Mostdays
Everyday

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MaritalStatus
Single
Married
Widowed
Seperated
CivilUnion/DomesticPartnership
Cohabiting
Other,pleasespecify_____________

Whatgenderdoyoumostcloselyidentifywith?
Male
Female
Transgender
Prefernottoanswer
Other,pleasespecify

SexualOrientation
Heterosexual/Straight
Homosexual/Gay/Lesbian
Bisexual
Prefernottoanswer
Other,pleasespecify

Whatracedoyoumostcloselyidentifywith?(Chooseallthatapply)
White/Caucasian
Asian
Hispanic
NativeAmerican
AfricanAmerican/Black
NativeAlaskan/PacificIslander
Prefernottoanswer
Other,pleasespecify

Thankyouforyourparticipationinourclass'researchproject.Yourinformationwillbeheldinthestrictest
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confidence,withcompleteanonymity,andwillnotbesharedforanyreasonotherthanourclass'studies.If
youhaveanyquestions,concerns,orwouldlikeyouranswersremovedatanytime,pleasefeelfreeto
contactCamillaCummingsatccamilla@pdx.edu,orBenjaminCraigatbcraig@pdx.edu.Onceagainthank
youforyourparticipation,andhaveawonderfulday.

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