F E E D B A C K F O R M This is a new and exciting move forward for virtually everyone - dancers with disabilities or dancers without, choreographers, caregivers, rehab centers, and ballroom / social dance settings. We are currently gathering research data through this feedback form. If you have a moment to answer any of the following questions below please assist us in the gathering of research data which will help to inform and support the project goals. If you are interested in making a contribution please click here. First/Middle/Last Name Address City/State/Zip Phone Email Please note: This contact information is completely Optional, however if you fill it in and check add me to mailing list box you will be added to our Mailing List without having to submit the seperate form. Add me to Mailing List! 1. Do you see mixed ability dance as: A. Mostly helpful to community socializing B. Mostly theraputic for dancers with disabilities C. Mostly raising awareness for everyone D. All of the above E. A difficult concept to understand 2. Is it more important that: A. A dancer with disabilities must blend in with a role. Agree Disagree Maybe B. A dancer with disabilities must move correctly with other dancers. Agree Disagree Maybe C. A dancer with disabilities must use dance for therapy only. Agree Disagree Maybe 3. As you watch the future and an elderly population aging, do you wish for yourself: A. That wheelchairs & mobility had a wide range of scope. Agree Disagree Maybe B. That mixed ability interest could be in many fields. Agree Disagree Maybe 4. If you have seen a mixed ability performance, did the performance: A. Encourage your spirit and mind B. Inspire your involvement C. Educate your understanding of mixed abilities D. Change your mind regarding disabilities E. All of the above 5. Do you feel you may relate to any part of mixed ability dance? (select all that apply) The artistry The dancing The ideals expressed in word, art, or action The disabilities Other comments:
We are currently gathering research data through this feedback form. If you have a moment to answer any of the following questions below please assist us in the gathering of research data which will help to inform and support the project goals.
If you are interested in making a contribution please click here.
Please note: This contact information is completely Optional, however if you fill it in and check add me to mailing list box you will be added to our Mailing List without having to submit the seperate form.
1. Do you see mixed ability dance as: A. Mostly helpful to community socializing B. Mostly theraputic for dancers with disabilities C. Mostly raising awareness for everyone D. All of the above E. A difficult concept to understand
2. Is it more important that: A. A dancer with disabilities must blend in with a role. Agree Disagree Maybe B. A dancer with disabilities must move correctly with other dancers. Agree Disagree Maybe C. A dancer with disabilities must use dance for therapy only. Agree Disagree Maybe
3. As you watch the future and an elderly population aging, do you wish for yourself: A. That wheelchairs & mobility had a wide range of scope. Agree Disagree Maybe B. That mixed ability interest could be in many fields. Agree Disagree Maybe
4. If you have seen a mixed ability performance, did the performance: A. Encourage your spirit and mind B. Inspire your involvement C. Educate your understanding of mixed abilities D. Change your mind regarding disabilities E. All of the above
5. Do you feel you may relate to any part of mixed ability dance? (select all that apply) The artistry The dancing The ideals expressed in word, art, or action The disabilities
Other comments:
