British Science Week - Adult Feedback Form
Personal Details
What is your age?
19 - 29
30 - 39
40 - 49
50 - 59
60 +
Prefer not to say
Do you consider yourself to have a disability?
Yes
No
Prefer not to say
Gender:
Female
Male
Prefer not to say
Prefer to self describe
If you clicked self-describe, please provide details here:
Choose one option that best describes your ethnic group or background:
White British
White Other
Black/Black British (African, Caribbean etc.)
Asian/Asian British (Indian, Chinese, Pakistani, Bangladeshi etc.)
Mixed (White & Black Caribbean, White & Asian, etc.)
Prefer not to say
Other (please specify)
If you clicked other, please provide details here:
Do you work in a science-related job or study science?
Yes
No
Prefer not to say
On a scale of 1 - 10, how far do you agree with this statement (1=strongly disagree, 10=strongly agree)
"Science is for people like me."
1
2
3
4
5
6
7
8
9
10
Which of these statements best describes how you feel about science?
Science is not for me.
I am interested in science but I don’t choose to take part in optional science activities and events.
I am enthusiastic about science and actively seek out science activities and events.
Questions about your British Science Week event
Overall, how would you rate the event you participated in?
Excellent
Good
Average
Poor
How has this event affected your interest in science?
I'm much more interested
I'm a bit more interested
My interest level is unchanged
I'm a bit less interested
I'm much less interested
Have you previously attended a British Science Week event?
Yes
Maybe / Unsure
No
What made you come to this event?
(select as many as appropriate)
Please select...
As part of my employment
As part of my child's school
Interest in the subject matter
Socialising / Networking
I was a speaker / presenter / STEM ambassador at the event
I wanted to learn something new
Please provide any other comments or thoughts on your event or participation here: