Name *

First Name

Last Name

What kind of work are you involved in?

Check all that apply.

Enterprise

Law

Medicine or Public Health

Domestic Nonprofit

International NGO

Volunteer

Philanthropy or Foundation

Government

Multilateral Agency

Think Tank

Media or Arts

Christian Church

Other Faith Community

High School Student

High School Teacher or Staff

University Student

University Faculty or Staff

Other

Giving Habits

Check all that apply.

I give to nonprofits doing work domestically.

I give to nonprofits working internationally.

I actively buy from companies committed to ethical manufacturing.

Which scenes most resonated with you?

Check all that apply.

Do They Know It's Christmas?

"We made a devil's bargain." Rice subsidies and Haiti.

ENERSA (Haitian solar panel company).

The Marshall Plan, history of aid.

The New Colonialists. "I bought my first house on the proceeds of foreign aid."

Charity That Hurts (egg story, Kenyan textiles).

The Poverty Industry / The Social Fact

The Rich Get Hipper (TOMS Shoes; "No one wants to be a beggar for life.")

Orphans and the Apparent Project (artisan company)

Excluded: Private Property, Rule of Law, and Access

Plausibility Structure (the celebrity culture)

Conclusion: "It's going to be beautiful."

Please respond to the following prompts:

POVERTY, INC. is a must-see film.

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

I now have a better framework for understanding and engaging the problem of poverty.

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

I learned something new.

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

The film will influence my charitable behavior in the future.

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

The film will influence my future decisions and actions in my field.

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

The film has shifted my personal, professional, or academic trajectory.

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

The film has influenced my community or organization.

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

If there was a Q&A following the film, who was the speaker?

Director / Producer Michael Matheson Miller

Co-Producer Mark R. Weber

Cinematographer Simon Scionka

Other, from the film team

Other, not from the film team

The Q&A served a very important role in the educational experience of the film.

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

Action Opportunities

What are you willing to do to cultivate these ideas in your sphere of influence?

I will follow the film on Facebook, Twitter (www.facebook.com/povertyinc - www.twitter.com/PovertyINC)

I will endorse and link to the film on Facebook, Twitter (copy/paste: vimeo.com/109863354 - www.povertyinc.org).

I will blog or write about the film online.

I will email influential people about the film.

I will donate or fundraise $300 for a free screening of POVERTY, INC.

I will sponsor the Educational Edition of the film for a high school ($95) or university ($295).

I will crowdsource a screening at my local movie theater.

I will organize a screening at my high school or university (if my school doesn't yet have the film, I will submit a request to the school library).