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Please complete this questionnaire to the best of your ability. We really appreciate your time and thoughtfulness.

1. Name (optional) ________________________________________

3. Please check the AIR program you participated in and indicate the year(s) you participated.

4. Please check the levels of education you have completed and indicate school attended and year completed.

5. What best describes what you have been doing primarily since January 1, 2005?

6. If one of your girl friends came to you and asked what you thought of AIR and its programs, what would you tell her? Please explain using specific examples. You can continue on the backside of this paper.

7. What do you remember most about AIR? You can continue on the backside of this paper. ____________________________________________________________________________________________________________________________________________________________

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8. Have any of your classes, jobs, or regular activities included the arts (visual arts, music, theater, and writing) in anyway? Yes _____ or No _____ Please explain using specific examples. You can continue on the backside of this paper. ______________________________________________________________________________

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8a. If you answered “Yes” to question #8, please complete the following sentence as specifically as possible: I do/did art because . . .______________________________________

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9. Do you think your participation in AIR has had any lasting influence on your life and/or who you are today? Yes _____ or No _____ Please explain using specific examples:

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10. Five years from now, what do you see yourself doing and why? _____________________

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X	AIR Program	Year(s)
	Summer AIR (middle school)
	Senior Summer AIR (high school)
	Poets of AIR
	Singing in the Spring
	Mothers and Daughters
	Listen to Her Sing

X	Level of Education	School Attended	Year Completed
	Middle school
	High school
	Technical school
	Community/junior college
	4-yr college
	Graduate school

Primary Activity	Name of school/employer
Full-time high school student
Part-time post-secondary student
Full-time post-secondary student
Working part-time
Working full-time
Military
Other