Cultural Institution Visitor Experience Assessment
Please share your feedback to help us improve your experience at our institution.
Full Name
First Name
Last Name
Email Address (optional, for follow-up if needed)
example@example.com
Date of Your Visit
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
What is your age group?
*
Please Select
Under 18
18-24
25-34
35-44
45-54
55-64
65 or older
Prefer not to say
What was the primary reason for your visit?
*
To view a specific exhibit
General interest
Attending an event/workshop
Accompanying others
Other
Please rate the following aspects of your visit:
*
Rows
Excellent
Good
Average
Poor
N/A
Exhibits/Collections
1
2
3
4
5
Staff Friendliness
6
7
8
9
10
Cleanliness
11
12
13
14
15
Signage & Information
16
17
18
19
20
Accessibility
21
22
23
24
25
Facilities (restrooms, café, etc.)
26
27
28
29
30
How would you rate your overall experience?
*
1
2
3
4
5
How likely are you to recommend our institution to others?
*
Not likely
1
2
3
4
5
6
7
8
9
Extremely likely
10
1 is Not likely, 10 is Extremely likely
Were you aware of any special programs, events, or memberships during your visit?
Yes
No
What did you enjoy most about your visit?
Do you have any suggestions for improvement?
Submit Assessment
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