Visitor Survey
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1. Default Section
Please take a few moments to answer the following questions about your experience at Fleischmann Planetarium and Science Center. All responses are confidential. Thank you!
1
. What was the date of your visit?
MM
DD
YYYY
Date
What was the date of your visit? Date Month
/
Day
/
Year
2
. What is your ZIP code?
What is your ZIP code?
ZIP:
3
. Is this the first time you have visited Fleischmann Planetarium?
Is this the first time you have visited Fleischmann Planetarium?
Yes
No
4
. Which program did you attend today?
Which program did you attend today?
5
. How did you learn about today's presentation?
How did you learn about today's presentation?
Friend
Other (please specify)
Planetarium brochure
Print article (newspaper or magazine)
Radio or TV program
Teacher
Website
Other (please specify)
6
. Please rate the following statements about your experience today:
Strongly Agree
Agree
Disagree
Strongly Disagree
I would encourage others to visit the planetarium.
*
Please rate the following statements about your experience today: I would encourage others to visit the planetarium. Strongly Agree
I would encourage others to visit the planetarium. Agree
I would encourage others to visit the planetarium. Disagree
I would encourage others to visit the planetarium. Strongly Disagree
This program introduced me to something new.
This program introduced me to something new. Strongly Agree
This program introduced me to something new. Agree
This program introduced me to something new. Disagree
This program introduced me to something new. Strongly Disagree
I enjoyed this program.
I enjoyed this program. Strongly Agree
I enjoyed this program. Agree
I enjoyed this program. Disagree
I enjoyed this program. Strongly Disagree
The overall experience exceeded my expectations.
The overall experience exceeded my expectations. Strongly Agree
The overall experience exceeded my expectations. Agree
The overall experience exceeded my expectations. Disagree
The overall experience exceeded my expectations. Strongly Disagree
7
. What type of program would you like to see in the future?
What type of program would you like to see in the future?
8
. What can we do to improve your overall experience?
What can we do to improve your overall experience?
9
. Please let us know if we may follow up on your concerns:
Please let us know if we may follow up on your concerns:
Name:
Email Address:
Phone Number:
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