Visitor Center Comment Card
(Personal Interview or Mail Survey)
OMB 0710-0001
Expires: 30 September 2012
The public report burden this information collection is estimated to average 5 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this data collection, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Executive Services Directorate, Information Management Division, and the Office of Information and Regulatory Affairs, Office of Management and Budget, Washington, D.C. 20503, Attn.: Desk Officer for U.S. Army Corps of Engineers. Respondents should be aware that notwithstanding any other provision of law, an agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. Please DO NOT RETURN your completed form to either of these offices.
Thank You !
Your thoughtful feedback today will help
make future visits here more enjoyable and worthwhile for everyone.
Are you interested in learning more about recreation opportunities on Corps of Engineers lakes?
Visit our website at www.CorpsLakes.us
Visitor Center Comment Card |
OMB Approval 0710-0001, Exp 30 Nov 2009 |
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Survey: |
Scheduled Self-service |
Solicited Tour Rep |
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Season: |
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Please help us serve you better at the ____________________________Visitor Center! |
Today's Date: ___/___/______ |
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(MM DD YYYY) |
About your visit here today: How important were each of the following to your visit? (Check one box for each feature)
1. Have you ever been to this Visitor Center before? (Choose one)
2. What was your primary reason for coming here today? (Choose one)
3. Did you come here today with any children 5 to 16 years old?
Yes No |
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Visitor Center Feature |
Very Important |
Important |
Somewhat Important |
Not Important |
NA |
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Parking |
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Accessibility to persons with disabilities |
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Programs and Services: |
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Interpretive presentations and films |
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Guided tours |
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Pamphlets and brochures |
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Having staff available for assistance |
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Bookstore |
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Overall: |
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Learning opportunities |
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Exhibits and activities for children |
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How satisfied were you with each of the following today? (Check one box for each feature) About Yourself:
Visitor Center Feature |
Very Good |
Good |
Not Good Not Poor |
Poor |
Very Poor |
NA |
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1. Home postal (ZIP) Code:
2. You live in: (Choose one) U. S. Canada Mexico Other
3. Age: (Choose one)
4. Gender: (Choose one) Female Male
5. Ethnic affiliation: (Choose one) Hispanic Non-Hispanic
6. Racial affiliation: (Choose one)
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Restrooms |
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Parking |
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Accessibility to persons with disabilities |
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Availability of visitor center staff |
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Helpfulness of visitor center staff |
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Items for sale in the bookstore |
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Overall: |
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Learning experience |
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Overall satisfaction with the visitor center |
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What
did you like
most
about the visitor center? (Describe)
What
improvements
would
you like to see here? (Describe)
File Type | application/msword |
File Title | OMB Approval 0710-001, Exp xxxxxxx |
Author | Christine Wibowo |
Last Modified By | Stuart A. Davis |
File Modified | 2009-05-21 |
File Created | 2007-02-23 |