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pdfAGENCY DISCLOSURE STATEMENT
Are you interested in learning more about recreation
opportunities on Corps of Engineers lakes?
Visit our website at www.CorpsLakes.us
Your thoughtful feedback today will help
make future visits here more enjoyable and
worthwhile for everyone.
Thank You!
OMB Control #:0710-xxxx, Exp: xx/xx/xxxx
The public reporting burden for this collection of information is estimated to average 5 minutes per
response, including the time for reviewing instructions, searching existing data sources, gathering and
maintaining the data needed, and completing and reviewing the collection of information. Send comments
regarding this burden estimate or any other aspect of this collection of information, including suggestions for
reducing the burden, to the Department of Defense, Washington Headquarters Services, Executive Services
Directorate, Information Management Division, 4800 Mark Center Drive, East Tower, Suite 02G09,
Alexandria, VA 22350-3100 (XXXX-XXXX). Respondents should be aware that notwithstanding any other
provision of law, no person shall be subject to any penalty for failing to comply with a collection of
information if it does not display a currently valid OMB control number.
PLEASE DO NOT RESPOND TO THE ABOVE ADDRESS
Responses should be directed to Natural Resources Support Program, USACE-IWR-Casey Building, 7701
Telegraph Road, Alexandria VA, 22315
Visitor Center Comment Card
We would like to know about your visit. Your response is voluntary and
not required. This information will be used to improve the quality of
information, facilities, exhibits and services at this visitor center.
OMB Control #: xxxx-xxxx Exp: mm-dd-yyyy
Survey Protocol:
Scheduled
Self-Service
Visitor Center:
1. Have you ever been to this visitor
center before? (Choose one)
Yes No Not Sure
Solicited
Tour Rep
Today's Date: ____/____/_______
(MM DD YYYY) .
Please help us serve you better on future visits to:
About your visit here today:
Project:
How im portant are each of the following to you?
(check one box for each feature)
Visitor Center Feature
Very
Important
Important
Somewhat
Important
Not
Important
NA
2. What was your primary reason for
coming here today?
(Choose one only)
View the exhibits
Take a guided tour
Attend special program or event
Use the restroom
Take a break from travel
Obtain information or brochures
Purchase recreation area pass
Browse the bookstore
Other:______________________
Facilities:
Exhibits
Quality of restrooms
Convenient parking
Accessibility of buildings and
facilities to persons with disabilities
3. Did you come here today with any
children 5 to 16 years old?
(Choose one) Yes No
Programs and Services:
Interpretive presentations and films
Guided tours
Pamphlets and brochures
Having staff available for assistance
Bookstore
Overall:
Learning opportunities
Exhibits and activities for children
How did you hear about this visitor center? (check all that apply)
Family/Friend Map/brochure www.corpslakes.us
www.recreation.gov www.reserveamerica.com Other website __________________ Welcome center/chamber of commerce
Newspaper/magazine article Highway/Road Signs info/staff at local business Info/staff at local motel School class/program
Please rate each of the following? (check one box for each feature)
Visitor Center Feature
Facilities:
Quality of exhibits
Acceptability of restrooms
Availability and convenience of parking
Accessibility of buildings and facilities
to persons with disabilities
Programs and Services:
Quality of interpretive presentations/films
Quality of guided tours
Availability of pamphlets and brochures
Availability of visitor center staff
Helpfulness of visitor center staff
Items for sale in the bookstore
Overall:
Quality of learning experience
Value of exhibits and activities for children
Overall satisfaction with the visitor center
Very
Good
Good
Not Good
Not Poor
About yourself:
Poor
Very
Poor
NA
1. Home postal or ZIP code:
___________________ (please print)
(Choose one for each item below)
2. You live in: U. S. Canada
Mexico Other
3. Age: Under 25 25-44
45-61
62+
4. Gender: Female Male
5. Are you Hispanic or Latino?
Yes No
6. What is your race?
(Mark one or more)
American Indian or Alaska Native
Black or African American
Native Hawaiian or
other Pacific Islander
Asian
White
What improvements would you like to see in this Visitor Center? (Describe. Do not provide personally identifiable information (PII)
What did you like most about this Visitor Center? (Describe. Do not provide personally identifiable information (PII)
File Type | application/pdf |
File Title | OMB Approval 0710-001, Exp xxxxxxx |
Author | Christine Wibowo |
File Modified | 2016-10-06 |
File Created | 2016-10-06 |