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* Name

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* Zip Code

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* Email

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* How many times have you visited the Museum?

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* On your visit, who accompanied you?

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* If you chose family, what are the ages of the family members who accompanied you? (Select all that apply.)

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* How did you hear about the Museum of the American Revolution?

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* What was the primary motivation for your visit?

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* During your visit, did you shop or dine at the Museum? 

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* During your visit, did you take part in daily or special museum programs? (Select all that apply.)

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* How would you rate your experience purchasing your ticket online?

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* Would you recommend the Museum to others?

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* How would you rate the value you received?

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* What was your favorite part of your overall Museum experience?

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* How can we improve the Museum experience?

Collecting demographic information helps us to better understand our visitors so we can serve them better. Please tell us more by answering the following questions:

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* Including yourself, what are the age of the adults in your household (select all that apply)

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* What are the ages of the children in your household (select all that apply)

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* What is your gender?

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* Please specify your ethnicity (select all that apply.)

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* What is your household income?

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* What is the highest degree or level of school you have completed? (If currently enrolled, highest degree received.)

Please answer these additional questions: 

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* Do you regularly attend any of the following (select all that apply.)

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* During your visit to the Museum of the American Revolution, you:

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* Please select the following Museum events you would be interested in attending in the future:

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* Please sign me up for the Museum newsletter to receive up to date information on the latest events and programs

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