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COALITION FOR QUALITY CHILDREN'S MEDIA
112 W. San Francisco St., 305A, Santa Fe, NM 87501
ph: 505/989-8076; fax: 505/986-8477; contact us
EVALUATION - INTERACTIVE MEDIA - AGES 2 - 5

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 of Screening (MM/DD/YY):
Children's age range:
# of boys:
# of girls:
Cultural Make-up :

Rate each question:
Click below the face that matches each question best:
Not Applicable
Yes
A Little
Not at all
1. How much did you like this program?





2. Would you like playing with it again?





3. Did the program show characters treating each other well?





4. Do you think your friends would like this program?





5. Did the program get you to play along, sing along or think about things?





6. Did playing with the program make you want to find out more about what you saw?





TOTAL NUMBER FOR EACH CATEGORY:

This program was  :
 Great!
 I'd play it again
 OK, I liked some parts
 Boring, after I figured it out
 Too fast/too slow
 Too hard/too easy
 Has stereotypes
 No one liked it

FINAL RATING:
  NO
  QUALIFIED YES
  YES
  ALL-STAR

Tell us why you gave the final rating above:


Tell us about the children's comments or reactions:


When you are finished, please click the submit button below :

 

 

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