Your Email Address(you will receive a copy of this form): Title (exactly as appears on application): Adult Juror's Name: Facilitator's Name (if different): Date (MM/DD/YY): (use numbers only please, no letters) Children's Age Range: # of boys: (numbers only please) # of girls: (numbers only please) Ethnic Make-up : Rate each question: Click below the face that matches each question best and Fill in the comments box that corresponds. Not Applicable Yes, a lot A Little Not at all 1. How well did the children enjoy this CD? Describe their actions. 2. Were they interested in listening again?Describe? 3. Are there positive qualities that the children respond to? Describe? 4. As the children listened, did they sing, dance, play or respond in any way?Describe? 5. How well does it encourage interaction between adult and child? Like what? 6. Can this easily be listened to in segments? Describe. 7. What was your favorite part? TOTAL NUMBER FOR EACH CATEGORY: This title was  :  Great!  I'd listen to it again  OK, I liked some of it  Boring  Too fast/too slow  No one liked it FINAL RATING:   NO   QUALIFIED YES   YES   ALL-STAR  Contains gratuitous sex or violence  Has a condescending attitude towards children  Contains physical or verbal abuse Contains racial, gender, cultural or religious bias Models unsafe behavior   Pace inappropriate, too slow/fast Stereotypical behavior prominent Lacking in cultural diversity Appealing to special audience This title meets or exceeds the baseline criteria: No gratuitous sex or violence No racial, gender, culture or religion bias No unsafe behavior No condescension towards children No verbal or physical abuse What are the specific attributes? (use all-star check list): Tell us why you gave the final rating above: When you are finished, please click the submit button below :