Media Literacy Feedback Form
Please share your feedback about your recent media literacy experience, lesson, workshop, article, or campaign. Your input helps us improve future media literacy initiatives.
Your Name (optional)
Which type of media literacy experience are you providing feedback on?
*
Please Select
Lesson
Workshop
Article
Campaign
Other
Title or Topic of the Experience
How would you rate the overall quality of this media literacy experience?
*
1
2
3
4
5
Please indicate your level of agreement with the following statements:
*
Rows
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
The experience increased my understanding of media literacy.
1
2
3
4
5
The content was engaging and relevant.
6
7
8
9
10
I feel more confident analyzing media messages.
11
12
13
14
15
I would recommend this experience to others.
16
17
18
19
20
What did you find most valuable about this experience?
What suggestions do you have for improvement?
How likely are you to participate in another media literacy event or activity?
*
Not at all likely
1
2
3
4
Very likely
5
1 is Not at all likely, 5 is Very likely
Would you like to be contacted for future media literacy opportunities?
Yes
No
If yes, please provide your email address
example@example.com
Submit Feedback
Should be Empty: