Museum Survey 1. In order to better identify your expectations and needs, we would appreciate if you could give us your feedback about the Bloomingdale Park District Museum. Question Title * 1. Please fill out the following. Name: Address: City/Town: * State: * -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP: * Email Address: Question Title * 2. Gender Male Female Question Title * 3. Which category below includes your age? 17 or younger 18-20 21-29 30-39 40-49 50-59 60 or older Question Title * 4. How did you find out about the Museum? Park District Seasonal Brochure Park District Website School Flyer Park District E-Newsletter Park District E-Blast Local Newspaper Local Television From a Friend From Another Museum Other (please specify) Question Title * 5. How many times did you visit the Museum in 2011? 0-1 2-5 6-10 10+ Question Title * 6. What are your reasons for visiting the Museum? To see an exhibit For a Park District program For a rental For an exhibit reception I am an artist and have artwork exhibited Other Question Title * 7. Are there programs, classes, exhibitions you would like to see offered at the Museum? If so, what are they? Question Title * 8. What do you like best about the Museum? Do you have any additional comments? Question Title * 9. Would you recommend the Museum to a friend or colleague? Yes No Done