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* 1. What is the last Arts and/or Historic event that you attended? ( For example, symphony, farmer's market, recital, museum exhibit, art exhibit, etc.?)

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* 2. Is this your first time attending an Arts and/or Historic event in our community?

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* 3. How did you hear about this event?

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* 4. What is the ZIP code or postal code of your primary address?

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* 5. Which of the following describes your primary reason for attending this Arts and/or Historic event?

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* 6. Including yourself, how many people are attending this Arts and/or Historic event with you? ( Include only people who are in your immediate travel party)

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* 7. Which of the following age ranges describes you?

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

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* 9. Do you actively participate in the creation of arts & music? ( For example, do you sing in a choir, act in a play, paint or draw, etc.?)

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* 10. Which of the following ranges includes your annual household income?

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* 11. How many nights away from your primary residence will you spend in this community because of your attendance at this arts/cultural event? (If you are a resident please respond with 0.)

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* 12. List below the amount of money you and members of your group have spent or plan to spend in this community specifically because of your attendance at this Arts and/or Historic event?

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* 13. If this event or exhibit were not happening, would you have traveled to another community to attend a similar cultural experience?

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* 14. Optional: If you would like to enter a chance to win a door prize, please enter the following information ( winners will be selected randomly)

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