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* 1. Your name:

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* 2. Your role in the event:

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* 3. Your email address:

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* 4. Have you hosted an International Observe the Moon Night event before?

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* 5. Where was your event?

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* 6. Optional: Please describe your event:

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* 7. Estimated total number of attendees (please enter a number)

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* 8. Which of the following options best describes the location of your event (choose the best response):

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* 9. Which of the following describes partners who collaborated with you on the event (choose all that apply):

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* 10. Did you or any of your partners use information or resources provided on the International Observe the Moon Night website? (moon.nasa.gov/observe)

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* 11. Which of the following materials did you use for your event? Please check all that apply.

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* 13. Did you share any resources (such as NASA websites, handouts, etc). with your visitors that will help them continue to learn about the Moon or Space System science and exploration?

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* 15. Did you have telescopes or binoculars available for observing?

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* 16. In which ways were visitors able to see the Moon during your event? (choose all that apply)

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* 18. Did you distribute or implement any of the following evaluation materials?

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* 19. Rate the quality of materials available to you by the InOMN site for advertising, hosting, and evaluating your event:

  Great Pretty Good Good Inadequate Don't know, didn't use/ was not aware
Materials for advertising your event
Materials for hosting/implementing your event
Materials for evaluating your event

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* 20. What did you hope visitors got or took away from the event? (choose all that apply)

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* 21. What were your/your organization or institution’s goals for hosting this event? (Choose all that apply.)

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* 22. What local resources or connections would make your event more successful next year?

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* 23. What resources, materials, or connections would you like from the International Observe the Moon Night leadership team that would make your event more successful next year?

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* 24. Did you share pictures or highlights from your event through International Observe the Moon Night social media (Twitter, Facebook, or Flickr)? If not, remember that you still can. Tag your photos with #observethemoon on Twitter, or find links to our Facebook, Flickr, and Twitter pages through http://moon.nasa.gov/observe

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