LEAD Pre-Test
RequiredRequired Question(s)
In order to continue to improve our advocacy programs, it is important that we learn a little about you and get your feedback. Thank you in advance for completing this evaluation!  We will also be sending a post event evaluation.
 
Required 1.

Have you ever met with a legislator before? 


Yes
No
Required 2.

Do you know who your legislators are? 


Yes
No
Required 3.

Have you ever visited the capitol building in Tallahassee before?  Or, if you are from a different state, have you visited the capitol building of your home state? 


Yes
No
Required 4.
Please choose the number that most closely represents how well the following statements describe you:
 1 - Not at all true 5 - Totally true 
I communicate with my legislators regarding social issues that impact client problems.
I work to change existing laws and regulations that negatively affect clients.
I work with professional organizations to influence public policy relating to social justice.
I feel prepared to communicate the needs of my clients to my legislators.
I can communicate my professional needs to my legislators.
I understand the role of NASW in professional advocacy for social workers.
5.

What do you most hope to learn during LEAD?  

 

350 characters left.
6.

What policy issues are important to you? 


 

350 characters left.
7.

What professional value does participating in LEAD have for you? 


 

350 characters left.
Demographic Information:
 
Required 8.
I am attending LEAD as a (select one):
Student
Educator/Faculty Member
Professional Social Worker
Other  
9.

If you selected "student" above, what type of program are you in? 


BSW
MSW
PhD or DSW
Other  
10.

If you selected "educator/faculty member" or "professional social worker" above, what is your highest degree? 


BSW
MSW
PhD or DSW
Other  
11.

If you are a student, what school do you attend? 


Barry University
Florida A&M University
Florida Atlantic University
Florida Gulf Ccast University
Florida International University
Florida Memorial University
Florida State University
Southeastern University
St Leo University
Thomas University
University of Central Florida
University of North Florida
University of South Florida
University of West Florida
Warner University
Other  
Required 12.

My age is: 


<18
18-30
31-40
41-50
51-60
61-70
71-80
>80
Required 13.

My gender is: 


Female
Male
Other  
Required 14.
My race is (select all that apply):
White or Caucasian
Black or African American
Asian
American Indian/Alaska Native
Native Hawaiian or Pacific Islander
Prefer Not to Answer
Other  
Required 15.

Do you consider yourself Hispanic/Latino? 


Yes
No
Prefer Not to Answer
Required 16.

What is your five-digit zip code? 


 

50 characters left.
17.
If you would like to be entered into the random drawing for a Starbucks gift card, enter your contact information below.

First Name:
Last Name:
Email Address:
emailaddress@xyz.com