Name:
address:
city/zip:
county:
phone:
email:
website:
gender:
no answer Female Male Other
date of birth (mm/dd/yyyy):
birth place:
languages spoken:
ethnicity:
no answer American Indian/Alaskan Native Asian/Pacific Islander African American East Indian/Indian Subcontinent Hispanic Caucasian Other
highest level of education:
no answer Elementary Junior High High School College Masters PhD
Artistic Discipline:
no answer Performing Arts Visual Arts Literary Arts
Medium(s) you primarily work with:
# years practicing artist:
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100
How would you classify yourself as an artist?:
no answer Amateur Emerging Mid-level Established
Do you maintain a sales tax license?:
yes no
Do you have a business plan?:
yes no
Do you document your work?:
yes no
If yes, how do you document your work?:
no answer disks porfolio slides video Other I Don't
If you selected "other" in the above ?, how do you document your work?:
Do you publicly exhibit, peform, publish your work?:
yes no
If the answer to the above ? If yes, select all that apply below:
Street Fairs
Cafes or Restaurants
Community Centers
Galleries
Museums
Public Art Sites
Books
Theatres
Performance Halls
Open Air Sites
Zines
Internet
Schools/Universities
Businesses or Coprorations
Open Studio Tours
Radio or Television
Libraries
Magazines
Other Venues:
Are these venues located in the North State?:
yes no some
Do you have sufficient inventory to exhibit your work in a gallery setting or to sell at festivals, sell copies at reading or performances?:
yes no
Do you operate a gallery or maintain a studio or workshop where you produce your work?:
yes no
Please include location, description and if you keep regular hours::
Are you a member of an arts, performance, or literary group?:
yes no
If the answer to the ? above is yes, list your organizations here:
Do you currently have healthcare?:
yes no
If you do have healthcare, is it with one of the organizations you listed above?:
yes no
If not, what type of healthcare do you have?:
Explain how you market or promote your work.:
How do you create your marketing materials?:
no answer at home professionally I don't
Are your marketing materials current?:
yes no I don't have marketing materials
Are your marketing strategies working?:
yes no I'm not marketing
Do you own a computer?:
yes no
Do you have internet access?:
yes no
If yes, do you use the internet as a marketing tool?:
yes no no internet
If so, do you feel this tool is beneficial to your business?:
yes no
If not, would you be interested in training to make your internet marketing more effective?:
yes no
How would you describe your current level of artistic creativity?:
no answer not active somewhat active active
Do you expect to make a living with your art?:
yes no
What percentage of your household income is dreived from arts related activities?:
no answer less than 10% 11%-25% 26%-50% 51%-75% 75%-100% All income
What is your annual household income?:
no answer Less than $10,000 $10,000-$25,000 $25,000-$45,000 $45,000-$70,000 $70.000-$100,000 $100,00-$140,000 $140,000-$200,000 $200,000 +
If you have income other than the arts, what type of business is it from?:
How many people are in your household?:
Do you save or invest in retirement?:
yes no
Do you feel your community....:
... is supportive of the arts?:
yes no
...would be interested in arts education opportunities?:
yes no
...provides suffiient venues for exhibition?:
yes no
...has appropriate organizations to support your work?:
yes no
...has a strong artists' network?:
yes no
If no, would you be interested in participating in one?:
yes no
May we inform you of regional opportunities?:
yes no
Have you attended arts related business training or small business training?:
yes no
If yes, please explain...:
Rank the following from 1-5
Health Care:
Space (studio, performance, exhibit, rehearsal):
Financial support for dedicated studio time:
Exhibition, performance or publishing opportunities:
Business Management Skills:
Rank the following from 1-9
Business Services (accounting, legal, marketing, etccc):
Career Development activities (classes, workshops, etc..):
Equipment and/or supplies financial services (credit union, insurance, loan programs):
Information services (newsletter, employment, exhibit, competitions, auditions, etc..):
Project development assistance:
Grant-writing assistance:
promotional assistance (marketing, artist directory, registry, etc...):
Technology access (internet, email, website slide registry):
Other Needs - please specify....:
COMMENTS: Please write any comments that will help to create an understanding of your experience as an artist::
RELEASE AGREEMENT:
I understand that this survey is developed to be used as a cultural resource list and agree to release my name and contact information to festival and event organizers, galleries, museums, art centers, art program managers, libraries, educational institutions, print publications, internet websites and links or any other entity deemed appropriate by the Shasta County Arts Council. I understand the survey questions will be compiled to determine statistics and trends that indicate the depth of cultural activity and promote a prosperous artistic community in Northern California. I further understand that allowing my name ot be on a cultural resource list does not constitute a relationshop with the Shasta County Arts Council or any other entity.
Yes, I have read and agreed to the release agreement:
yes no
