Questionnaire (THAR 10B S25)

THAR 10B: Questionnaire

ABOUT THE QUESTIONNAIRE
This detailed Questionnaire provides me with important information to help me communicate with you, support your learning needs, and work with you to create a positive learning experience.  All answers are kept strictly confidential (with the exception of your name, primary phone # and email if you grant me permission to put that information in a class contact list.) 

If you feel uncomfortable answering any question, I totally understand.  Just leave the question blank or insert a note like "I'd prefer not to answer."

If any information you include in the Questionnaire changes for you as the semester progresses, you can view your Questionnaire at any time under "Grades" and record changes in the comments field to the side of the assignment.  (Just send me a message so I know if you do that.)

 

INSTRUCTIONS

Click the blue button that says, "Start Assignment."  Select Text Entry submission option.  Highlight and copy all the questions, including the spaces between them, and paste directly into your text entry box.  Then, type your answers directly after each question as you read the chapter.  Keep an eye on the question #s, as Canvas sometimes likes to re-number the questions for no reason; if that happens, just change the number to the correct number.  When done, click "Submit Assignment."  

NOTE:  I have also included a PDF of the Questionnaire below if you'd prefer to type or handwrite your answers.  If you use the PDF, please save/rename or scan your completed Questionnaire and upload the saved/scanned document to Canvas under this assignment.

THAR 10B Questionnaire PDF (S25rev) Download THAR 10B Questionnaire PDF (S25rev)

 

THAR 10B: QUESTIONNAIRE (rev. S25)                                                          INSTRUCTOR: Laura Downing-Lee

1. YOUR FIRST AND LAST NAME (as it appears on SRJC records):

 

2. MORE NAME INFORMATION

A. What do you prefer to be called in this class?: Do you prefer a nickname or shortened version of your name you prefer us to use?  (Note:  You can apply to have your preferred name on SRJC class rosters, if you wish; look at your personal profile information in your Cubby or contact Admissions and Records.)

Answer

 

B. Pronouncing your name:  If one or both of your names are sometimes mispronounced by others or you have a preferred pronunciation, please include some pronunciation instructions below to help me get it/them right. 

Answer

 

C. Name's Language/Cultural Differences: In some languages/cultures, one’s family name (what we call “last name” or “surname”) appears first and one’s personal name (what we call “first name”) appears second. If that is the case for you, please show how your name would normally appear in your native language/culture.

Answer

 

3.  PRONOUNS: What pronouns do you use?  (Examples:  They/Them/Theirs; She/Her/Hers; He/Him/His)

 

4. LAST FOUR DIGITS OF YOUR STUDENT ID#?:                                            

5. EMAIL AND PHONE NUMBERS

A. Email you check the most regularly:                                                                                                                        

B. Cell Phone #:                                                                                  

     If you do not have a cell phone, just type "No cell phone" in the space instead.

C. Text: Can you text using your cell?        (Underline)            Yes, I can text                 No texting

D. Phone Users: If you listed a cell phone # above, is it your private cell or do others use it too?

(Underline)                      Only Mine               Also Used by Others

E. Other Phone #s:  Is there any other phone number you would like me to use to reach you and/or leave a message for you? If not, just put N/A below.

                                                                                                       

                                                                                                      

 

6. REASON(S) YOU ARE TAKING SRJC CLASSES, PARTICULARLY THAR 10B

A. What are your career goals at this point?

 

 

B. How does this intermediate acting class fit into those goals? Copy/paste or highlight all that apply from the list and add any additional explanation needed.

• • Working on an Acting Certificate  
  • Working on a Stagecraft, Stage Management, Makeup, or Costuming Certificate
  • Planning to major in Theatre and complete a 2-yr. degree (AA)
  • Planning to major in Theatre and transfer to a 4-yr. university or conservatory
  • Serious about pursuing acting as a career  
  • Working on a Digital Media: Digital Filmmaking Certificate or Major
  • Working on a Digital Media: 3D Modeling and Animation Major
  • Interested in learning acting as a personal activity (hobby) or a life/related-career skill
  • Other:  Explain below

 Any additional information?

 

 

 

 

7. YOUR PERFORMANCE EXPERIENCE

A. CLASSES: What acting or performing (singing, dancing, etc.) classes have you already had?  (If you studied at SRJC, include your past instructors for THAR 10A, 19, or 63.)

Answer

 

 

B. PERFORMANCES: What acting or performing (singing, dancing, etc.) performance experience do you have? 

• You can upload your acting resume, if you have one. Type "See Resume" if you do.  (Just select the "Insert Document" icon in the Edit menu or select "Document" from the "Insert" drop-down menu to upload your resume.)
• If you don’t have performance experience yet, that is okay! Just say, “No experience yet.”

Answer

 

 

 

8. TIME COMMITMENTS/PRESSURES

Please describe any substantial time commitments/pressures you have and/or any commitments/responsibilities that could affect your attendance this semester in the space provided.  For example: 

• • Work:  How many hours/week do you work? Any unique details?  (Describe in space below)
  • Class schedule:  How many units are you taking this semester?  Any unique details?  (Describe in space below.)          
  • Substantial or difficult commute before or after class?  If “yes”, describe in space below)
  • Special issues: Self-care/family care (child, aging parent, etc.), health needs, legal, military, etc.?:  (Describe in space below)
  • Theatre production commitments this semester? (Describe in space below)

This information helps me support you better if conflicts arise and is also used when I am assigning acting partners.

Answer here:

 

 

 

9. CASTING and AGE: What is your age?   (Underline one of the age ranges below.)

a. 14-17     b. 18-22     c. 23-29      d. 30-39     e. 40-49      f. 50-59     g. 60+     h.  Prefer not to answer

[I will be helping you select age-appropriate monologues for this class.  In addition, it is important that I identify those students who are under 18, since you will be partnering with other students who may be over 18.]

 

10. CASTING and GENDER/IDENTITY

For all students:  Please tell me how you identify and how you wish to be cast this semester, regarding gender/identity.  Since this is a course focusing on contemporary realism, we normally use binary gender casting (male identified student = male roles; female identified student = female roles).  However, we want to respect the casting preferences of those students who identify as trans or non-binary.  Also, please include any related details you'd like to share with me regarding casting in order to maintain a positive educational environment for you.

Answer

 

 

 

11. CASTING and RACIAL/ETHNIC IDENTITY

As we move through the course, I will be casting the Class Play scenes and there will be two occasions in which I will be assisting you with finding performance material from plays (for your monologues and your final scene).  As I prepare to do so, it can be helpful to know a bit about your racial/ethnic heritage.  If you feel comfortable doing so, please share a few details about your background below:

Answer

 

 

 

 

12. CASTING and MATERIAL/CONTENT

Please explain below if you have any concerns about subject matter, language, physical actions, types of characters, and/or attire in the scenes/monologue you will be doing in this class.

Answer

 

 

 

 

13. PERSONAL NEEDS PT. 1

This class requires that you work closely with several people over an extended period of time.  The work is sometimes demanding - physically, vocally, and emotionally.  Therefore, it can be very helpful for the instructor to know if you are dealing with any of the following.

• Hearing, voice, or speech issues or restrictions
• Physical limitations, present injuries, chronic physical issues
• Difficulty reading, writing, following instructions, sitting still for long periods
• Other issues, such as challenging personal circumstances.

If you feel comfortable doing so, please explain below or discuss with your instructor privately.  If this question does not apply to you, just put "N/A" (for "Not applicable") in the space below.

Answer

 

 

 

 

14. PERSONAL NEEDS PT. 2

If these questions do not apply to you, just put "N/A" (for "Not applicable") in the spaces below.

A. Is there anything that you would like me (and your classmates, if you are comfortable with them also being included) to keep in mind about your personal needs, preferences, or challenges (such as terminology you would prefer, or anything specific that the instructor and/or classmates can do to help ensure the quality of your learning experience)? If so, please explain below: 

Answer

 

 

B. SRJC has a wide range of student support services.  Are there any college resources that you would like help finding?

Answer

 

 

15. CLASS CONTACT LIST PERMISSION

May I have your permission to include your contact information (name, cell phone # or primary phone #, and email) on a class contact list?  If “Yes,”, please type "Yes, I give my permission." below.  If “Yes, but…”: If you want to be included, but wish me to restrict the information listed, please specific below.  If “No”, please explain your reason below or discuss with me privately (office hours or after class) if you are comfortable doing so.

Answer

 

 

16.  DEVICES AND TECHNOLOGY

NOTE:  The SRJC Libraries have many great resources for students if you answer “No” to any of the questions below.

A. What device(s) will you be using to complete homework (desktop computer, laptop, tablet, phone, etc.)?  Please include type (such as "MacBook Air").

Answer

 

 

B. Do you have access to reliable WiFi at home/outside of class?          (Circle)     Yes           No

C. Do you have access to Microsoft Word and/or Google Docs?           (Circle)      Yes           No

D. Do you have access to a printer at home/outside of class?                (Circle)     Yes           No

E. Do you have access to a scanner at home/outside of class?               (Circle)     Yes           No

(Note:  If you have an iPhone, it has a scanner function.  Also, there are scanner apps available for phones and tablets.)

 

17.  CLASS - PHOTOGRAPHY AND/OR RECORDING

A. Filming/Recording Full Class: On rare occasions, I may need to film a class for a student to review remotely. May I have permission to record you as a member of our class?If “Yes,”, please type "Yes, I give my permission." below.  If you have concerns, please share your concerns below.

Answer

 

 

B. Filming/Recording Class Performance Work: On occasion, I may wish to film class performance work to help your learning process, help my grading process, and/or provide selected examples for our class/future classes. May I have permission to record your performance work in class?If “Yes,”, please type "Yes, I give my permission." below. If you have concerns, please share your concerns below.

Answer

 

 

C. Screen shots and photos: On rare occasions in class, I may wish to take a photo of you or a screen shot of you if we are are working on Zoom (for coaching or instructional purposes). May I have your permission to take photos or screen shots of you?  If “Yes,”, please type "Yes, I give my permission." below.  If you have concerns, please share your concerns below.

Answer

 

 

18,  THAR 10B SELF-REFLECTION QUESTIONS

A. What are the most common corrective notes you have received recently about your acting? (In other words:  What are the most common acting notes you receive about what you need to work on?)

 

 

 

 

B. What is the nicest compliment you’ve received about your acting recently...and why was it particularly important to you?

 

 

 

C. Below, list Three Personal Acting Goalsthat you would like to set for yourself this semester:

Goal 1

 

 

 

Goal 2

 

 

 

Goal 3