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\begin{document}

\centerline{\large \bf CRA-W Distinguished Lecture Series and Panel}

\vspace{10pt}

\centerline{\bf \bf Audience Exit Survey}


\vspace{10pt}

\noindent Please take a moment and fill out this survey before you leave.
Thanks.  This will help improve future such programs greatly.

\begin{enumerate}
\item
Your gender (circle):  \hspace{10pt} M  \hspace{10pt} F 
\item
Your ethnicity:  \anslong
\item
Your affiliation (check all that apply): 
\begin{dashlist}
\item
Student at this university: 

\ansline Fr (1st year)   \ansline Soph (2nd year)  \ansline Jr (3rd year)  \ansline Sr (4th year) \ansline  Grad 
\item
Student at nearby school (which one \anslong).

\ansline Fr (1st year)   \ansline Soph (2nd year)  \ansline Jr (3rd year)  \ansline Sr (4th year) \ansline  Grad 

\item
Not currently in school:
\begin{dashlist}
\item
Employed  (Computer-related industry)
\item
Employed (Outside computer industry)
\end{dashlist}
\end{dashlist}
\item
Which events did you attend?
\begin{dashlist}
\item
Distinguished Lecture
\item
Graduate Panel
\item
Other events (social events or meal)?  Please specify.
\end{dashlist}
\item
Which of the following best describes your reasons for attending
tonight?
\begin{dashlist}
\item  Curious about Grad School           
\item  Seriously interested in advice about applying to Grad School     
\item  To meet Ph.D. women role models
\item  Free food
\item  Came because of a friend
\item  Other (specify) 
\end{dashlist}
\item
Which of the following advertizements for this event did you see?
\begin{dashlist}
\item  Email to an established  mailing list or a newsgroup.              
\item  Flyers or posters
\item  Word of mouth
\item  Email to an ad hoc group
\item  Class announcement
\item  Other (specify)
\end{dashlist}
\item
Prior to this event, which of the following best describes how you
viewed the possibility of going to graduate school in computer science
and eng. in your future (check one):          
\begin{dashlist}
\item  Never considered it before.        
\item  Planned to be finished with school forever after Bachelor's degree.  
\item  Imagined I might return to school after several years of work.    
\item  Undecided about grad school vs. employment.               
\item  Planning to go to grad school.
\item  None of the above or not applicable (e.g., I'm already a grad
student or faculty member...) 
\end{dashlist}

\item
 After attending this event, which of the following best describes how
 your view of the possibility of your going to graduate school has
 changed (check one):         
\begin{dashlist}
\item  Nothing has changed. 
\item  Less likely to apply.           
\item  More likely to apply to begin grad school immediately after
  graduation.        
\item  More likely to consider returning to grad school after some
  work experience.         
\item  Motivated  to do additional information gathering before
  deciding to apply or not.  
\item  Not applicable.
\end{dashlist}

\item
  How would you rate the importance of covering
  information on each of the following topics at the panel discussion:

\begin{tabular}{|l|c|c|c|c|}
\hline
{\bf Topic} & {\bf Not Interesting} & {\bf Somewhat Useful} & {\bf
  Valuable} & {\bf Essential}\\
\hline
Insight into what the & & & & \\
experience of attending  	& & & & \\
grad school is like		& & & & \\
(joys and frustrations)    & & & & \\
\hline
Insight into why a 	    & & & & \\
research career is exciting & & & & \\
\hline
Range of careers open to & & & & \\
those with Ph.D. degrees & & & & \\
\hline
Advice on the process of & & & & \\
how to apply to grad school & & & & \\
\hline
Information on what Admissions & & & & \\
 Committees are looking for & & & & \\
\hline
Information on financing a & & & & \\
graduate school education         & & & & \\
\hline
\end{tabular}

\item
  How would you rate the importance of the following regarding the
Distinguished Lecture?

\begin{tabular}{|l|c|c|c|c|}
\hline
{\bf Topic} & {\bf Not Valuable} & {\bf Somewhat Useful} & {\bf
  Valuable} & {\bf Essential}\\
\hline
Talk accessible to general audience & & & & \\
\hline
Substantial time for questions & & & & \\
\hline
Meeting the lecturer & & & & \\
before/after talk & & & & \\
\hline
Talk content includes broad & & & & \\
perspective of field & & & & \\
\hline
Talk content includes new & & & & \\
exciting results & & & & \\
\hline
\end{tabular}

\item
Other topics of importance:
\vspace{.7in}

\item 
% This event was organized by CRA's Committee on the Status of
%   Women in Computing and all the panelists were women.  
Which of the   following statements best capture your feelings about
the gender   balance of the event?
\begin{dashlist}
\item There was a gender imbalance in the presenters at the events.  It was
unnecessary and weakened the program
\item   Frankly, I didn't notice any imbalance.
\item I was aware of it, but it  made no substantial difference.  
\item The makeup of the panel provided inspiration for women while
  not excluding men.  
\item
  There should have been more explicit emphasis on women's issues.
\end{dashlist}

\item
Have you participated in any other CRA events (such as the  Grad
Cohort or Distributed Mentor Project), if so which? 
\vspace{20pt}
\item
If you would like additional information emailed to you, please
provide your email address: 

\anslong

You may also register online to receive information about other CRA-W
programs:  {\tt www.cra.org/craw}

\item
Any additional comments:
\vspace{3in}

\end{enumerate}

\centerline{\em Thanks for your input! }

\end{document}