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* 1. Date of Visit:

Date

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* 2. Is this your first visit to the Children's Museum?

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* 3. Are you a member of the Children's Museum?

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* 4. Time of Visit:

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* 5. How old are the children visiting with you?

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* 6. Please rate the Children's Museum in the following categories:

  Poor Fair Good  Excellent N/A
Exbibits
Programs
Value
Cleanliness

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* 7. What were your child(ren)'s favourite exhibits?

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* 8. Do you have any feedback about your family's experience? What did you enjoy? What could be improved?

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* 9. How likely are you to return to the Children's Museum for another visit?

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* 10. Were exhibits, programs, and other customer services provided to you in an accessible manner?

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* 11. Overall, how satisfied are you with your experience at the Children's Museum?

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* 12. Where are you visiting from?

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* 13. If from out of town, what brings you to London?

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* 14. Contact Information (Name and Email)

T