West Bloomfield Black History Month Survey by WB Parks

WB Parks is researching ideas to commemorate Black History Month that would be held in West Bloomfield in February 2021. Please take less than 5 minutes to complete a short survey.

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* 1. Have you attended a Black History Month program in West Bloomfield before?

Yes

Other (please specify)

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* 2. Please list the name of the program, where it was held and/or any other details you recall.

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* 3. Please rate the following ideas that you or your family would attend for Black History Month? All ideas below could be in person or adapated for a virtual experience given the COVID-19 pandemic.

	Not at all likely	Maybe	Likely	Very likely
Book Fair	Book Fair Not at all likely	Book Fair Maybe	Book Fair Likely	Book Fair Very likely
Exhibit or Display (ie) Art Display	Exhibit or Display (ie) Art Display Not at all likely	Exhibit or Display (ie) Art Display Maybe	Exhibit or Display (ie) Art Display Likely	Exhibit or Display (ie) Art Display Very likely
Choir Concert	Choir Concert Not at all likely	Choir Concert Maybe	Choir Concert Likely	Choir Concert Very likely
Movie Night + discussion	Movie Night + discussion Not at all likely	Movie Night + discussion Maybe	Movie Night + discussion Likely	Movie Night + discussion Very likely
Story Time	Story Time Not at all likely	Story Time Maybe	Story Time Likely	Story Time Very likely
Story Teller	Story Teller Not at all likely	Story Teller Maybe	Story Teller Likely	Story Teller Very likely

Other (please specify)

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* 4. How many programs would you and/or your family attend for Black History Month?

2 or less

3-4

More than 5

Other (please specify)

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* 5. Would you like to be involved in Black History Month planning?

Yes, I'd like to serve on the Task Force

Yes, I'd like to sponsor an event

Yes, I'd like to volunteer at an event

Undecided

Other (please specify)

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* 6. Please leave your contact information:

First & Last Name

Business/Organization

Cell Phone

City/Zip

Question Title

* 1. Have you attended a Black History Month program in West Bloomfield before?

Question Title

* 2. Please list the name of the program, where it was held and/or any other details you recall.

Question Title

* 3. Please rate the following ideas that you or your family would attend for Black History Month? All ideas below could be in person or adapated for a virtual experience given the COVID-19 pandemic.

Question Title

* 4. How many programs would you and/or your family attend for Black History Month?

Question Title

* 5. Would you like to be involved in Black History Month planning?

Question Title

* 6. Please leave your contact information:

Question Title

* 7. Additional Comments: