The Test Impact Survey

1.Please rate THE TEST(Required.)

2.Where did you see the film? (Zip Code)(Required.)

3.First Name(Required.)

4.Last Name(Required.)

5.Email(Required.)

7.List the organization, business, or university are you affiliated with.(Required.)

8.How likely are you to recommend this film to a friend or colleague?(Required.)

9.Could you pass the US citizenship test featured in the film? (Check all that apply)(Required.)

Yes

No

I'm curious: send me the link to take a practice US citizenship test

10.This film has deepened my appreciation for the contributions senior citizens make in my community to support and mentor younger generations.(Required.)

11.After watching the film, I learned something new about the rigorous civic education required to become an American citizen.(Required.)

12.How did THE TEST inspire you to get involved? (Check all that apply)

Connect me with local organizations helping immigrants pursue American citizenship.

I would like to share the movie trailer on social media. Send me the link.

I want to support the film to help you reach a wider audience. Please contact me about donating to the film.

I could host a screening at my local movie theater, organization, school, or business. Send me the details on the next steps.

I want to be involved in a different way.

13.OPTIONAL: Would you be interested in introducing us to any organizations that you think would love this film? If yes, please list out the specific organizations, and we will reach out to you to get connected.

14.OPTIONAL: Leave a short review of the film that we can publicly share on our social media (only leave a review if we have your permission to share your review publicly).

15.OPTIONAL: Additional thoughts?