Thank you for using the Culture Pass.

The Culture Pass program is a joint project of Act One, the partner libraries and and the participating arts organizations. We appreciate your participation in our survey and value your input.

* 1. In what ZIP code is your home located? (enter 5-digit ZIP code; for example, 00544 or 94305)

* 2. What is your email address?  *Will only be used for Culture Pass/Act One information. Will not be shared.

* 3. How many adults (18+) live in your household?

* 4. How many children, by age, currently live in your household?

* 5. What was your household income in 2015?

* 6. What is your ethnicity? (Please select all that apply.)

* 7. What is the highest level of education you have completed?

* 8. Are you, or is someone in your household, a veteran or currently serving in the military?

* 9. How did you learn about the Culture Pass?

* 10. What venue or performance did you visit with the Culture Pass?