Class/school details

Thank you for visiting the Lakes District Museum & Gallery. Please complete both pages with your feedback so we can evaluate the programme and make necessary changes.

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* 1. School Name:

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* 2. Private or Public (and decile):

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* 3. What date did you visit the museum?

Date

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* 4. I identify my gender as:

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* 5. What year level are you at school?

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

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