Museum Survey Form

Museum Survey Form
Thanks so much for filling out our survey. We’ve created it to in order to learn more about you and what would you like to see in our museum.
Gender

MaleFemale
Birth Year
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
How often have you visited us? You can be approximate.

Never beenOnce or twiceA few times a yearMonthlyWeeklyI practically live there!
What kind of activities do you like?

ExhibitsLecturesPresentations
In general, do you like the Museum?

YesNo
What do you MOST enjoy about the Museum?

Exhibit about AExhibit about BExhibit about C
If Other, please state?
Anything else that you would like to see? Do you have a show suggestion?
Thanks for filling out our survey! In order to arrange for your access to the show, please give us your name and email address. We will add you to the guest list with your name +1, so that you can bring a guest.
Full Name

First NameLast Name
E-mail
Should be Empty: