Visitor Survey

Thank you for coming here today! We would greatly appreciate it if you could provide us with a little information about you and your visit with us. This will only take a minute or two to complete!

We are one of many wonderful historic sites in this region. Information provided here will be used by this organization for audience and program development and by the Southeastern CT Cultural Coalition for a regional survey. 

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* 1. Which site are you visiting?

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* 2. How did you hear about us?

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* 3. I visited:

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* 4. Visitor Info

  Number
Number of Visitors Age 12 and Under
Number of Visitors Age 13 to 19
Number of Visitors Age 20-29
Number of Visitors Age 30-45
Number of Visitors Age 46 to 55
Number of Visitors Age 56+

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* 5. Tell us about when your visit:

  Day of Week Time of Day
Day

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* 6. Number of times you have visited this museum/site?

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* 7. Are you a Member of:

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* 8. Do you live:

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* 9. What is your zip code?

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* 10. (Optional) Email Address

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