Your Email Address(you will receive a copy of this form): Title (as on Application Form): Adult Juror's name: Date of Screening (MM/DD/YY): Rate each question: Select from the popup menu the number that best matches each question 5 = Great; 4 = Good; 3 = Good, but...; 2 = OK; 1 = Not So Good; 0 = Terrible; N/A = Not Applicable APPEAL 1. What did you enjoy about this video? Would you enjoy watching this video with a child? Explain. -Select One- 5 - Great 4 - Good 3 - Good, but... 2 - O K 1 - Not So Good 0 - Terrible N/A - Not Applicable CONTENT 2. Grade the overall presentation. Take into consideration the structure, the continuity and the style. Explain. -Select One- 5 - Great 4 - Good 3 - Good, but... 2 - O K 1 - Not So Good 0 - Terrible N/A - Not Applicable 3. Grade the quality of the content. Take into consideration its accuracy, suitability for children. Explain. -Select One- 5 - Great 4 - Good 3 - Good, but... 2 - O K 1 - Not So Good 0 - Terrible N/A - Not Applicable 4. If modeling behaviors are demonstrated, are they positive? Are social interactions respectful of race, culture and gender? Explain. -Select One- 5 - Great 4 - Good 3 - Good, but... 2 - O K 1 - Not So Good 0 - Terrible N/A - Not Applicable 5. Grade its attitude toward the audience. Do you think it is respectful of children's critical thinking skills or emotional capacities? Does it use appropriate language and format for its audience? Comments on content. -Select One- 5 - Great 4 - Good 3 - Good, but... 2 - O K 1 - Not So Good 0 - Terrible N/A - Not Applicable PRODUCTION QUALITY 6. Grade the overall production quality. Take into consideration whether it's appropriate for its audience level? Comments on production quality. -Select One- 5 - Great 4 - Good 3 - Good, but... 2 - O K 1 - Not So Good 0 - Terrible N/A - Not Applicable BENEFITS 7. Grade the overall benefits. Does it motivate further inquiry? -Select One- 5 - Great 4 - Good 3 - Good, but... 2 - O K 1 - Not So Good 0 - Terrible N/A - Not Applicable Please total the points for questions 1 through 7: 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 Indicate if you've given it a QY for one of the following reasons or explain other reasons.  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: Juror's suggested age range:  Based on your own experience, recommend the most suitable age range from youngest to oldest. When you are finished, please click the submit button below :