Date of Visit
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Have you visited the Museum before?
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How long ago, in years, was your most recent visit?
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Did you see a planetarium show?
Yes
No
No, but I would like to see one in the future. |
Did you participate in a family program?
Yes
No
No, but I would like to participate in one in the future. |
Are you a member of the Museum?
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How many adults were in your group?
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How many children ages 3-17 were in your visit group?
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How many children under age 3 were in your visit group?
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What is your home zip code (or your country, if
not in the US)?
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Email address:
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The following contact information is
optional. |
Name
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Address
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City
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State
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Phone Number
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