BUDDY'S TAVERN Audience Feedback Survey

1. Getting to know you...

The information you provide below helps us to get to know our audience.

Question Title

* 1. Are you a Village Originals Member:

Basic Membership $75

Starring Member $100

Contributors Circle $250

Directors Circle $500

Producers Circle $1,000

I am not a Village Originals Member

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* 2. Are you the guest of a Village Originals Member:

Starring Member $100

Contributors Circle $250

Directors Circle $500

Producers Circle $1,000

I am not the guest of a Village Originals Member

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* 3. Or are you a...

Festival Artist

Festival VIP

A Village Theatre Staff Person

Other

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* 4. You have been attending Village Theatre...

This is my first visit

Less than a year, but not my first visit

1 to 5 years

5 years or more

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* 5. You are...

Male

Female

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* 6. Please indicate your age:

Under 25

25-34

35-44

45-54

55-64

65 or over

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* 7. Would you like to be added to our mailing?

Name:

Address:

City:

State:

ZIP:

Question Title

* 8. Would you like to be added to our E-list?

E-mail: