Light-a-Spark Survey

This Light-a-Spark survey is to learn more about your group's demographics and receive feedback about your experience. Your voluntary participation will help us identify areas for improvement and ensure that Public Glass remains a welcoming environment for all. Your responses are anonymous and confidential.

Thank you!

What is your role in your group (select all that apply):

Instructor

Parent/ Guardian

Group Coordinator

Other

Number of students in your group

Number of Chaperones or Coordinators in your group

Date of your class

Demographic Information

Do any of your students or group members identify as transgender?

Yes

No

Prefer not to say

Can you share the gender of each student ? (With a number for each description, Female, Male, Non-Binary, Transgender, Other, Prefer not to say) [Eample: 2 Females, 3 Males, and 1 prefers not to say]

Can you share the Race/Ethnicity of each student ? (With a number for each description, Black or African American, Hispanic or Latino, Asian, White, Native American, Alaska Native, Native Hawaiian, Pacific Islander, Prefer not to say, or other)

Are there any students with Disability Status in your group? (0 or a number is all we would like)