Science Center Evaluation Form
Help us improve by sharing your feedback about your recent visit to the Science Center.
Full Name
First Name
Last Name
Email Address (optional, for follow-up)
example@example.com
Date of Visit
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
How did you hear about the Science Center?
*
Please Select
Social Media
Word of Mouth
School/Group Visit
Advertisement
Online Search
Other
Please rate your overall satisfaction with your visit
*
1
2
3
4
5
Please rate the following aspects of your experience
*
Rows
Exhibits
Staff Friendliness
Cleanliness
Facilities
Poor
1
2
3
4
Fair
5
6
7
8
Good
9
10
11
12
Very Good
13
14
15
16
Excellent
17
18
19
20
What did you enjoy most about your visit?
Do you have any suggestions for improvement?
Submit Evaluation
Should be Empty: