I Am Girl Screening Data Collection Form_2014 As film makers we are keen to keep track of how often the film is screened and how many people get to see it. We would appreciate it if you would take a few minutes to fill in this form to let us know about screenings that you hold. Please fill in a separate form for each screening or cinema run. Question Title * 1. Type of screening: Cinema Festival Private screening - corporate Private screening - community School screening TV broadcast Other (please specify) Question Title * 2. Location: Venue: City: State: Country: Question Title * 3. Screening period: Start date: Date Question Title * 4. Screening period: End date: Date Question Title * 5. Estimated audience size: Question Title * 6. Basis for estimate: Ticketing data Attendee RSVP list Oztam data Best estimate Other (please specify) Question Title * 7. Purpose for screening: (please choose any relevant options) Promotion of film Dissemination of film Education Advocacy Brand profile / recognition building Fundraising Other (please specify): Question Title * 8. If your screening was a fundraiser can you please let us know what you were fundraising for: Question Title * 9. How much money were you successful in raising: Question Title * 10. From time to time we like to share testimonials of people who have watched / hosted the film. If you would like to, can you please provide us with a quote that sums up your experience of watching and / or screening the film. (Please note we will be using these quotes in publicity materials and reports that we publish about the film.) Thank you for taking the time to provide us with this data! Done