SOX SCHOOL SURVEY

The following information is used only to secure grants and your participation allows us to continue the Shreveport Opera Xpress ("SOX") education outreach program in schools. Thank you!

Please fill out a separate survey for each performance.

Name of school or organization:

Contact Person:

Phone:

Email:

School affiliation (i.e., parish, private, homeschool, etc.):

Is your school Title I (choose "No" if not a school):

Yes

No

Which show was performed at you school/organization (if we performed two or more shows, please fill out separate forms for each additional show):

What was the date of the performance:

Total students in attendance:

Total teachers/adults in attendance:

Number of attendees with special needs:

Percentage of White students:

Percentage of Black students:

Percentage of Hispanic students:

Percentage Asian students:

Percentage Other

Percentage Military

Did this program have a social or education message valuable to your students?

Yes

No

Did this program have a positive impact on your students?

Yes

No

Should Shreveport Opera Xpress continue to offer in-school performances?

Yes

No

Would you request a SOX performance in the future?

Yes

No

What social message are topics would you suggest we explore for future performances?

Anything else you'd like us to know?