We are gathering information about the Performing Arts Workshop’s Artists-In-Schools (AIS) and Artists-In-Communities (AIC) programs. We hope to learn about program successes and areas for improvement. Your honesty is important - please answer the questions as truthfully as possible. Your answers will be held confidential and will not be shared with your colleagues. First, we’d like to know a little about you and your experiences with Performing Arts Workshop.

1.	1.What was your role in the residency?
	Classroom teacher in the Artists-in-Schools residency (which takes place in a public school, during the curricular school day)
	Site coordinator in the Artists-in-Communities residency (which takes place either in the after school hours or in non-traditional school settings, such as juvenile hall or county community/court schools)
	Teaching artist

2.	What type of residency were you involved with? (Check all that apply)
	Creative Movement
	Theater Arts
	Creative Writing
	Music
	World Dance
	I don't know
	Other

	If other, please specify:

3.	What population of students was served in this residency?  (Check all that apply)
	General Education
	English Learners
	Special Education
	Gifted/Talented
	Other

	If other, please specify:

4.	How long was the residency class each week?
	--Click Here--30 minutes45 minutes1 hourOther

	If other, please specify:

5.	What is the name of your school/ site?

6.	What were the grade levels of students participating in the residency? Please check all that apply.
	Kindergarten		Fifth		Tenth
	First		Sixth		Eleventh
	Second		Seventh		Twelfth
	Third		Eighth
	Fourth		Ninth

7.	What day of the week did the residency take place? Please check all that apply.
	Monday		Thursday		Sunday
	Tuesday		Friday
	Wednesday		Saturday

8.	What time did the residency start each week?

9.	How many students participated in the residency at this time?
	--Click Here--1 to 1011 to 2021 to 3031 to 40 41 to 5051 to 7576 to 100101 or more

10.	When did the residency occur?
	Fall semester
	Spring semester
	Both semesters

11.	What is the name of the Workshop Artist you worked with?
	Saleciano Alves		Susie Hara		Kristin Papania
	Jose Barroso		Chin Chin Hsu		Scott P. Phillips
	Daina Block		Erica Jeffrey		Jose Ramirez
	Jason Brown		Suraya Keating		Joseph Schine
	Ling Cheung		Nicole Klaymoon		Beverly Sotelo
	Rachel Costello		Suzanne Lappas		Mia Tagano
	Matthew Davison		Risa Larsen		Elizabeth Tenuto
	Fabio de Oliveira Mendes		Dana Lomax		Claire Toepfer
	Adama Ken Doumbia		Rahman Jamaal McCreadie		Amy Torgeson
	Tara Fagan		Alicia Ohs		Other
	Dilcia Gonzalez-Queiro		Stephanie Owen

	If other, please specify:

12.	What is your name?

13.	What is the name of the teacher/ site coordinator you worked with?

14.	Was this an Artists-in-Schools (AIS) or Artists-in-Communities (AIC) residency?
	Artists-in-Schools residency (which takes place in a public school, during the curricular school day)
	Artists-in-Communities residency (which takes place either in the after school hours or in non-traditional school settings, such as juvenile hall or county community/court schools)

Next we’d like to ask you about your observations of students now and at the beginning of the residency. Please tell us how your students' leadership skills may have changed as a result of this arts program. Please choose the number that corresponds with your degree of agreement with the statements.

15.	Students initiate a teaching role among their peers by modeling excitement, motivating other students and/or offering suggestions for change or improvement.
		Strongly Disagree "1"		2		3		4		5		6		7		8		9		Strongly Agree "10"
	At present
	At the start of the residency

16.	Some students in the classroom demonstrated independent thinking in their movement, written imagery, theater improvisational scenes or class discussion.
		Strongly Disagree "1"		2		3		4		5		6		7		8		9		Strongly Agree "10"
	At present
	At the start of the residency

17.	Students use language and physical expression to communicate creatively.
		Strongly Disagree "1"		2		3		4		5		6		7		8		9		Strongly Agree "10"
	At present
	At the start of the residency

Please tell us how your students' leadership skills may have changed as a result of this arts program. Please choose the number that corresponds with your degree of agreement with the statements.

18.	Students offer their own personal experience as the basis for artistic improvisation.
		Strongly Disagree "1"		2		3		4		5		6		7		8		9		Strongly Agree "10"
	At present
	At the start of the residency

19.	Students think about art and what it means to them.
		Strongly Disagree "1"		2		3		4		5		6		7		8		9		Strongly Agree "10"
	At present
	At the start of the residency

20.	Students take an idea and translate it into their art making/performance.
		Strongly Disagree "1"		2		3		4		5		6		7		8		9		Strongly Agree "10"
	At present
	At the start of the residency

Please tell us how your students' leadership skills may have changed as a result of this arts program. Please choose the number that corresponds with your degree of agreement with the statements.

21.	Students reflect on their art making/performance to gain deeper knowledge and skills related to art.
		Strongly Disagree "1"		2		3		4		5		6		7		8		9		Strongly Agree "10"
	At present
	At the start of the residency

22.	Students use reflection to build upon previous art making/performance.
		Strongly Disagree "1"		2		3		4		5		6		7		8		9		Strongly Agree "10"
	At present
	At the start of the residency

Please tell us how your students' relationships may have changed as a result of this arts program. Please choose the number that corresponds with your degree of agreement with the statements

23.	Students are able to form healthy relationships with their peers.
		Strongly Disagree "1"		2		3		4		5		6		7		8		9		Strongly Agree "10"
	At present
	At the start of the residency

24.	Students are able to form healthy relationships with adults.
		Strongly Disagree "1"		2		3		4		5		6		7		8		9		Strongly Agree "10"
	At present
	At the start of the residency

25.	Students work well as a team and support one another.
		Strongly Disagree "1"		2		3		4		5		6		7		8		9		Strongly Agree "10"
	At present
	At the start of the residency

Please tell us how your students' focus and concentration skills may have changed as a result of this arts program. Please choose the number that corresponds with your degree of agreement with the statements.

26.	Students are able to focus and concentrate on the activity at at hand.
		Strongly Disagree "1"		2		3		4		5		6		7		8		9		Strongly Agree "10"
	At present
	At the start of the residency

Please tell us how your students' self-efficacy skills may have changed as a result of this arts program. Please choose the number that corresponds with your degree of agreement with the statements.

27.	Students are able to effectively communicate their emotions, needs and desires.
		Strongly Disagree "1"		2		3		4		5		6		7		8		9		Strongly Agree "10"
	At present
	At the start of the residency

28.	Students’ behavior choices show thought and reflection.
		Strongly Disagree "1"		2		3		4		5		6		7		8		9		Strongly Agree "10"
	At present
	At the start of the residency

Please tell us how your students' cultural understanding may have changed as a result of this arts program. Please choose the number that corresponds with your degree of agreement with the statements.

29.	Students understand the importance of culture in how we act and think about the world.
		Strongly Disagree "1"		2		3		4		5		6		7		8		9		Strongly Agree "10"
	At present
	At the start of the residency

30.	Students express an interest in local and global cultures, outside of their immediate environment.
		Strongly Disagree "1"		2		3		4		5		6		7		8		9		Strongly Agree "10"
	At present
	At the start of the residency

Please tell us how your students' understanding of community and society issues may have changed as a result of this arts program. Please choose the number that corresponds with your degree of agreement with the statements.

31.	Students discuss social and community issues during the residency.
		Strongly Disagree "1"		2		3		4		5		6		7		8		9		Strongly Agree "10"
	At present
	At the start of the residency

32.	Students understand their place in and connection to their community and the issues that surround them.
		Strongly Disagree "1"		2		3		4		5		6		7		8		9		Strongly Agree "10"
	At present
	At the start of the residency

Please tell us how your students' peer critique skills may have changed as a result of this arts program. Please choose the number that corresponds with your degree of agreement with the statements.

33.	Students identify what is different or unique about their classmates’ art making/performance.
		Strongly Disagree "1"		2		3		4		5		6		7		8		9		Strongly Agree "10"
	At present
	At the start of the residency

34.	Students share ideas for changing or understanding each others’ art making/performance.
		Strongly Disagree "1"		2		3		4		5		6		7		8		9		Strongly Agree "10"
	At present
	At the start of the residency

Please tell us how your students' artistic vocabulary may have changed as a result of this arts program. Please choose the number that corresponds with your degree of agreement with the statements.

35.	Students know artistic vocabulary.
		Strongly Disagree "1"		2		3		4		5		6		7		8		9		Strongly Agree "10"
	At present
	At the start of the residency

36.	Students use artistic vocabulary appropriately during the residency.
		Strongly Disagree "1"		2		3		4		5		6		7		8		9		Strongly Agree "10"
	At present
	At the start of the residency

Please tell us how your students' participation may have changed as a result of this arts program. Please choose the number that corresponds with your degree of agreement with the statements.

37.	Students volunteer to participate in residency activities.
		Strongly Disagree "1"		2		3		4		5		6		7		8		9		Strongly Agree "10"
	At present
	At the start of the residency

38.	In general, how would you rate the quality of student art making/performance in the classroom during the residency?
		Poor "1"		2		3		4		5		6		7		8		9		Exceptional "10"
	At present
	At the start of the residency

39.	In general, how would you rate the quality of student art making/performance in the final product or culminating performance (if applicable)?
		Poor "1"		2		3		4		5		6		7		8		9		Exceptional "10"		Not applicable

40.	Throughout the school year, to what degree did the residency  ...
		Made it much worse "1"		2		3		4		No change "5"		6		7		8		9		Made it much better "10"
	Change the behavior of your students in general?
	Change the behavior of your students who struggled the most with behavioral issues?
	Change the behavior of your students who were shy and withdrawn?

Now, we’d like to ask about your impressions of the residency’s successes and challenge areas.

41.	Did you set and agree upon goals for this residency with the artist or Program Manager (as recorded in the Artist Educator Agreement Form)?
	Yes
	Somewhat Yes
	Somewhat No
	No

42.	Do you feel you and the artist accomplished your agreed upon goals?
	Yes
	Somewhat Yes
	Somewhat No
	No

43.	Do you feel the artist met your expectations for this residency?
	Yes
	Somewhat Yes
	Somewhat No
	No

44.	During the academic year, did you experience any problems with the artist, Program Manager or residency program?
	Yes
	No

45.	Please briefly describe the problem you experienced with the artist, Program Manager or residency program.

46.	Did you bring the problem to the attention of the artist, Program Manager or other Performing Arts Workshop staff?
	Yes
	No

47.	Did you feel your problem was solved in a satisfactory manner?
	Yes
	No

48.	Please include any additional comments about how the problem was handled.

49.	When did the artist share curriculum with you throughout the course of the residency?  (Check all that apply):
	At the start of the residency
	In the middle of the residency
	At the end of the residency
	Never
	Other

	If other, please specify:

50.	To what extent do you agree that the artist’s curriculum challenged students?
		Strongly Disagree "1"		2		3		4		5		6		7		8		9		Strongly Agree "10"

51.	How often were you in the room with your students during the Workshop class?
	Always
	Mostly
	Sometimes
	Never

	Where did you usually spend your time during the Workshop class?

52.	How often did you participate (i.e. join the class) in the Workshop class activities?
	Always
	Mostly
	Sometimes
	Never

	How did you spend your time instead?

53.	Would you like to have the Workshop’s Artists-in-Schools program back in your classroom/ site again?
	Yes
	No

	Why or why not?

54.	Would you like to have the Workshop’s Artists-in-Communities program back in your classroom/ site again?
	Yes
	No

	Why or why not?

55.	Would you like to have the artist back in your classroom or site again?
	Yes
	No

	Why or why not?

Now, we’d like to ask about your impressions of the residency’s successes and challenge areas.

56.	Did you set and agree upon goals for this residency with the teacher or site coordinator (as recorded in the Artist Educator Agreement Form)?
	Yes
	Somewhat Yes
	Somewhat No
	No

57.	Do you feel you accomplished your agreed upon goals?
	Yes
	Somewhat Yes
	Somewhat No
	No

58.	During the academic year, did the teacher or site coordinator bring any problems about the residency to your attention?
	Yes
	No

59.	Do you feel that Workshop staff adequately supported you in solving those problems?
	Yes
	No

60.	Please include any additional comments about how the problem was handled.

61.	When did you share the curriculum with the teacher or site coordinator throughout the course of the residency?  (Check all that apply):
	At the start of the residency
	In the middle of the residency
	At the end of the residency
	Never
	Other

	If other, please specify:

62.	How often was the teacher or site coordinator present during the Workshop class?
	--Click Here--AlwaysMostlySometimesNever

	Why?

63.	How often did the teacher or site coordinator participate (i.e. join the class) in the Workshop class activities?
	--Click Here--AlwaysMostlySometimesNever

	Why? How did he or she spend her time instead?

64.	Would you like to work with this teacher or site coordinator again?
	Yes
	No

	Why or why not?

65.	Would you like to work in this school or site again?
	Yes
	No

	Why or why not?

66.	How did you partner with the site staff on adjusting your curriculum, if applicable?

67.	What did you see as the residency’s greatest successes?

68.	What suggestions do you have to improve the residency?

69.	May we use quotes from your answers to promote our programs?
	Yes
	No

70.	What is your name?

That concludes our survey.  Thank you so much for your time.  Please contact Jessica Mele, Program Director at Performing Arts Workshop at 415-673-2634 ext. 201 or at jessica@performingartsworkshop.org if you have any further questions.