Painted Brain Reentry Through the Arts Program Survey

PB Reentry Through the Arts Program Survey

Entry Evaluation
Name

First NameLast Name
Pronouns
Date

MonthDayYear
Date
Please answer the following questions to the best of your knowledge on a scale from 1 - 5.

1 = Not At All / Worst - 5 = All the time / Best
How connected do you feel to your local arts community?

1

2

3

4

5

1 is Worst, 5 is Best
How would you rate your current overall mental health and wellness?

1

2

3

4

5

1 is Worst, 5 is Best
How would you rate your skills and knowledge of art creation?

1

2

3

4

5

1 is Worst, 5 is Best
How would you rate your skills and knowledge of art curation?

1

2

3

4

5

1 is Worst, 5 is Best
How strongly do you believe in community healing through the arts?

1

2

3

4

5

1 is Worst, 5 is Best
How confident do you feel about marketing and showcasing your current artwork?

1

2

3

4

5

1 is Worst, 5 is Best
What are you most curious to learn about from this program?
Please list art materials & or equipment you'd like to use during this program. (ex: acrylic, sketchbook, etc)
Should be Empty:

PB Reentry Through the Arts Program Survey