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Public Engagement with Science Instrument and Report Collection Form

Public Engagement Activity Description

Thank you for helping us collect public engagement evaluations and activity examples. We are working towards creating the understanding to inform easy-to-use evaluation instruments that could be used across projects or activities. Please send any questions or comments to Jeanne Braha, AAAS Public Engagement Manager.

1. What is your name?

2. Please share your email address so that we can share the results of our work with you later this fall. This question requires a valid email address.

3. What is the name of the public engagement activity you are sharing?

4. If the public engagement activity has a project website, please include that here.

5. Please upload instruments used to evaluate this program here.

File: {{filename}} delete

6. Please upload the most recent evaluation report on this public engagement activity here.

File: {{filename}} delete

Please take a few moments to share a broad description of the public engagement activity featured in this report by answering the three questions below.

7. What type of public engagement activity are you sharing?

8. What was the goal of the public engagement activity you are sharing? (check all that apply)

To foster trust
To hear different perspectives
To share current or future research
To have fun
To satisfy an outreach requirement/interest
Other: Please enter an 'other' value for this selection.

9. Who was the intended audience for the public engagement activity you are sharing?

Kids only (younger than 13)
Teens only (13-19)
Adults only (20+)
Families
Special audiences (e.g., Girl Scouts, neighborhood groups, etc.)
Stakeholders (e.g., businesses, government, faith leaders, etc.)

10. Do you have another public engagement activity you would like to share?