TBTN Post-Event Survey

TBTN Post-Event Survey

We hope your TBTN Event was empowering to all who attended! This Post-Event Survey will enable us to better support you in the future. If you submit photos with your Survey, your event is eligible to be featured in the monthly TBTN Newsletter to thousands of supporters around the world! Your submissions are used by TBTN as part of our aggregate reporting, operations, and internal review. TBTN does not sell your personal data or contact information to any 3rd parties.
Your Name*

First NameLast Name
School/Organization/Institution*
Your Title or Position at School/Organization/Institution*
Your Email*
example@example.com
Your Mobile Phone (US Country Code = +1; Canada Country Code = +1; Australia Country Code = +61; UK Country Code = +44; find other Country Codes at https://countrycode.org/)*

Country CodeArea CodePhone Number
Your Mailing/Shipping Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Your Role in the TBTN Event*
Date of your TBTN event:*

MonthDayYear
Date
Start and end time of your TBTN event:*
In my best estimate, the number of people who attended the TBTN Event was:*
In my best estimate, the number of people of color who attended the TBTN Event was:*
Our event featured: (Select all that apply)*

Survivor speak-outWalk/marchVigilArtistic performancesPresenter(s)/speaker(s) from Take Back the NightOther presenter(s)/speaker(s)Educational programFilm screeningSupport groupsSocial media follow-upPress coverageVisual display (t-shirt project, chalking, signs, etc.)Food/drinkProtestOther
If we could make changes to our event, we would: (Select all that apply)*

Ask more groups to get involved.Start planning earlierLengthen the event.Shorten the event.Get others from the area involved (eg. other schools, local rape crisis centers, etc.)Serve food.Bring in a guest speaker.Change the format of our event.Involve more faculty/staff.Better involve the LGBTQ+ community.Involve more corporate sponsors.Involve more men.Other
As a result of the event, we plan to: (Select all that apply)*

Update policies and procedures with our administrators and/or local government officials.Create new ways to raise awareness and provide education.Improve marketing for future events.Improve attendance and involvement for future events.Obtain additional funding or sponsors.Provide more support resources for survivors for future events.Other
Our wishlist of resources we would want from TBTNF includes:*
Please mark if any of the following represent goals for the coming year at your institution or in your community: (Select all that apply)*

Develop a men's outreach program.Redo or update school handbook policies on sexual assault.Develop a bystander intervention program.Create a crisis response and risk management plan.Review and update education on sexual misconduct prevention.Review and update the sexual misconduct response protocol.Improve training for faculty and staff on sexual misconduct.Improve training for peer leaders on sexual misconduct.Assess our organization's needs with surveys.Increase funding for our local rape crisis and/or domestic violence centers.Other
Will you be in charge of your TBTN event next year? (If not, whom can we contact about next year's event? Please answer in the last "Other" box.)*

Yes.I don't know.We will not have a TBTN event next year.Other
Photos and Videos of TBTN Event

Take Back the Night is collecting photos, videos, original artwork and poetry from TBTN Events to serve as historical record and to be displayed on the TBTN website. If you have any images or videos (or can obtain them from your school) from your TBTN Event, you may submit them below (up to 5 photos) or at https://campusoutreachservices.egnyte.com/ul/wzNpNm7zNm (videos or more than 5 photos).
We would be willing to contribute to TBTN's Resource Library with the following and will upload these files.

Event PhotosEvent VideoTestimonialsGraphic DesignsOriginal Artwork, Poetry or Music
Submit photos and other files.

Browse Files

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What were 1-3 highlights of your event? *
What advice would you give other TBTN event holders?*
What was a memorable and powerful quote that a participant or speaker said during or about the event?*
Reflecting on your recent TBTN event, how did participating make you feel during and after the event, and in what ways has it impacted you or your community?*
Note: Your response may be featured in our impact report!
Would you like to become a TBTN Fan (free) and receive our monthly newsletter?*

YesNo
Do you have any questions or comments?
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Terms and Conditions for Submission, Release, and Hold Harmless

I hereby irrevocably agree and consent that the Take Back The Night Foundation (hereinafter, ORGANIZATION), may use all or part of my submissions with this form or through the Egnyte portal (hereinafter, SUBMISSION) as a contribution and donation to the Foundation for any purpose of their choosing. ORGANIZATION has the right to use my SUBMISSION in any way ORGANIZATION sees fit. I shall not now—nor at any future time—be entitled to, nor shall I make claim to: 1) any wages, royalties or compensation of any kind for my SUBMISSION as used by ORGANIZATION; and/or 2) ownership or executive interests in my SUBMISSION as I am donating ownership and all rights for my SUBMISSION to ORGANIZATION. The rights granted herein to ORGANIZATION are perpetual, worldwide, and include the use of my SUBMISSION in any print, sound, digital or electronic medium available now or that may become available in the future. I am voluntarily choosing to give all ownership rights to my SUBMISSION to ORGANIZATION. ORGANIZATION is not obliged to make any use of my SUBMISSION or exercise any of the rights granted to them by this release. All rights granted herein, by me to ORGANIZATION, as well as all terms of this agreement and consent, shall insure to the benefit of the successors and assigns of ORGANIZATION.

I understand that my SUBMISSION is not guaranteed to be posted by ORGANIZATION. I understand that my SUBMISSION may be altered or edited. I understand that my SUBMISSION will not be posted if it contains any information that is considered to be potentially harmful or against any laws, policies or ordinance with which ORGANIZATION must comply. I agree to hold ORGANIZATION harmless for any consequences I may incur for submitting my SUBMISSION.
Please read the terms and conditions above and respond below:*

I hereby agree to the terms of this Submission, Release and Hold Harmless Agreement.
Please sign to agree to the terms above:*

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