Booker T. Washington National Monument
Customer Satisfaction Questionnaire – School-age Children
Please answer each question below.
Thank you for helping us!
1. Who was Booker T. Washington and why was he important?
2. Which story about Booker T. Washington was your favorite? (circle one).
a. Booker T. Washington: Born Here, Freed Here
b. A Child Enslaved
c. Lifting Up
d. Emancipation
Please tell us why this was your favorite story?
3. If you could change anything about what you saw today what would you do to make it better?
Why?
Paperwork Reduction Act Statement: The Paperwork Reduction Act requires us to tell you why we are collecting this information, how we will use it, and whether or not you have to respond. This information will be used by the National Park Service as authorized by 16 U.S.C. 1a-7. We will use this information to evaluate the new exhibits for Booker T. Washington Monument. Your response is voluntary. Your name and contact information have been requested for follow-up mailing purposes only. When analysis of the questionnaire is completed, all name and address files will be destroyed and will in no way be connected with the results of this survey. A Federal agency may not conduct or sponsor, and you are not required to respond to, a collection of information unless it displays a currently valid OMB Control Number. We estimate that it will take about 26 minutes to complete this process. You may send comments concerning the burden estimates or any aspect of this information collection to: Kenneth Davis, 67 Mather Place, Harpers Ferry, WV, 25425; or [email protected] (email).
OMB Control Number 1040-0001
Current Expiration Date: XX/XX/XXXX
| File Type | application/msword |
| Author | Nikki DeJesus |
| Last Modified By | Department Of The Interior |
| File Modified | 2012-03-09 |
| File Created | 2012-03-08 |