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. Your personal data will not be shared or individually compiled. If you prefer to fill out a printed survey, you can download it at www.act1az.org/survey

Question Title

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

Question Title

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

Question Title

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

Question Title

* 4. How many children, by age, currently live in your household? Leave blank if no children live in your household.

Question Title

* 5. What was your household income last year?

Question Title

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

Question Title

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

Question Title

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

Question Title

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

Question Title

* 10. In what county did you check out your Culture Pass?

T