na-2026inst

SURVEY TITLE

Instructions: Tell us about your experience today by circling your choices. This valuable information will improve future public outreach programs. Please turn in your completed survey to the designated area or to a staff member. We appreciate your feedback. Thank you for helping us serve you better.

*Numbers are for internal purposes only*

Location: Name of NARA Facility or External Venue Date: Day of Wk, Mo., Date, 20XX (optional)

EXHIBITS SECTION
	Overall, I am satisfied with my museum experience today (101).*
	Strongly Agree	Agree			Disagree		Strongly Disagree
	Is this your first visit to [our museum or exhibit title]? (102)?
	Yes				No
	Is this a return visit to [our museum, exhibit title]?
	Yes				No
	Reason for visiting [our museum, exhibit title]:
	How did you learn about [our museum, exhibit title]?
	Brochure or flyer		Calendar of events			Magazine
	Newsletter		Newspaper			Promotional signs or billboards
	Radio or television		Social media (Facebook© or Twitter©)			Website
	Word of mouth or personal recommendation		Chartered or group tour			School tour
	Other:
	I will visit again in the future.
	Yes				No
	I would recommend visiting [our museum, exhibit title] to others.
	Yes				No
	The exhibit galleries and public spaces were clean and well maintained (103).
	Yes				No
	If no, please describe/explain:
	Exhibit lighting, audiovisual technologies and interactive features were fully functioning (104).
	Yes				No
	The [our museum, exhibit title] signage was clear and instructive.
	Yes				No
	My visit to the [our museum, exhibit title] taught me something new.
	Yes				No
	Did you use the [interactive(s)] in the exhibit?
	Yes				No
	The [interactive(s)] contributed positively to my experience.
	Yes				No
	The written information in the [our museum, exhibit title] was easy to understand.
	Yes				No
	The written information in the visitor guide and/or [exhibit title] handouts was easy to understand.
	Yes				No
	The content in [our museum, exhibit title] was presented in a professional manner.
	Yes				No
	The [our museum, exhibit title] inspired me to learn more about the topic.
	Yes				No
	My visit to the [our museum, exhibit title] was informative.
	Yes				No
	My visit to the [our museum, exhibit title] met my expectations.
	Yes				No
	My visit inspired me to learn more about [our museum, exhibit title].
	Yes				No
	How could the visit to [our museum, exhibit title] be improved?
	Additional Comments:
	Sex:
	Female			Male
EDUCATION & FAMILY PROGRAMS SECTION
	Overall, I am satisfied with my education program experience today (121).*
	Strongly Agree	Agree			Disagree		Strongly Disagree
	Is this your first time participating in [the education program title] (122)?
	Yes				No
	If you have previously participated in [the education program title], when was the most recent time (approx. date)?
	Reason for participating in [the education program title]:
	I would recommend [the education program title] to others.
	Yes				No
	I will participate in another education program in the future.
	Yes				No
	How did you learn about [the education program title]?
	Brochure or flyer		Calendar of Events			Magazine
	Newsletter		Newspaper			Professional publication
	Promotional signs		Radio or Television			Social media (Facebook© or Twitter©)
	Teacher Conference		Website			Word of mouth or personal recommendation
	Other:
	The objective(s) of [the education program title] was clear.
	Yes				No
	Overall, the program met its stated objective(s) (126).
	Strongly Agree	Agree			Disagree		Strongly Disagree
	The length of the program was appropriate.
	Yes				No
	The program was conducted in the allotted time.
	Yes				No
	The program description was informative.
	Yes				No
	The audiovisual technologies were fully functioning (124).
	Yes				No
	The facilities were clean and well maintained (123).
	Yes				No
	Did you go on a docent-led [tour or program]?
	Yes				No
	The [tour or program] was well organized.
	Yes				No
	The [tour or program] was conducted in the allotted time.
	Yes				No

	The [tour or program] was well paced.
	Yes		No
	The [tour or program] met my expectations.
	Yes		No
	The [tour or program] taught me something new about [our museum, exhibit title].
	Yes		No
	How could the [tour or program] be improved?
	Overall, the [guide/moderator/speaker/presenter(s)] was effective (128).
	Strongly Agree	Agree	Disagree	Strongly Disagree
	Additional Comment(s):
	Sex:
	Female		Male
TEACHERS WORKSHOP SECTION
	Overall, I am satisfied with my education program experience today (141).*
	Strongly Agree	Agree	Disagree	Strongly Disagree
	Is this your first time participating in [the teacher workshop program title] (142)?
	Yes		No
	The registration process was user-friendly.
	Yes		No
	The registration fee was reasonable.
	Yes		No
	Confirmation and preparatory information/materials were sent in a timely manner.
	Yes		No
	The content is useful/important to me.
	Yes		No
	I learned something that I can apply to my work (149).
	Yes		No
	I gained new knowledge and/or skills.
	Yes		No
	The topic has practical application(s) for me.
	Yes		No
	The handouts were useful and/or informative.
	Yes		No
	The material provided effectively aligns with current education standards.
	Yes		No
	How will you use the ideas, information and/or handouts from the program?
	What were your main objectives for participating in this program?
	Were your objectives met?
	Yes		No
	Which part(s) of the program did you find the most interesting and/or useful?
	The activities, assignments, and/or other requirements were appropriate.
	Yes		No
	The audiovisual materials were effective, clear, and appropriate.
	Yes		No
	The audiovisual technologies were fully functioning (144).
	Yes		No
	Will you recommend this program to other educators (147)?
	Yes		No
	How does this program fit into your curriculum?
	The program meets my professional needs (150).
	Yes		No
	I created materials that I will use in my classroom.
	Yes		No
	Please provide a statement for potential use in promoting the value of this program to other teachers or sponsors:
	The [facilitator/speaker/presenter(s)] was organized and prepared.
	Yes		No
	The [facilitator/speaker/presenter(s)] encouraged participation.
	Yes		No
	The [facilitator/speaker/presenter(s)] was knowledgeable about the topic.
	Yes		No
	The [facilitator/speaker/presenter(s)] was responsive to questions.
	Yes		No
	The [facilitator/speaker/presenter(s)] was engaging.
	Yes		No
	The [facilitator/speaker/presenter(s)] kept the program focused.
	Yes		No
	The [facilitator/speaker/presenter(s)] kept the participants focused.
	Yes		No
	Overall, the [facilitator/speaker/presenter(s)] was effective.
	Strongly Agree	Agree	Disagree	Strongly Disagree
	The space(s) used provided a comfortable setting for the program.
	Yes		No
	The facilities were clean and well maintained (143).
	Yes		No
	How could this program be improved?
	What topic(s) would you like to see addressed in the future?
	Additional Comment(s):
	Sex:
	Female		Male
STUDENT GROUP PROGRAMS
	Overall, I am satisfied with my students’ group program experience today (161)*.
	Strongly Agree	Agree	Disagree	Strongly Disagree
	Is this your first time for your students to participate in [the student group program title] (162)?
	Yes		No
	If you have previously participated in [the education program title], when was the most recent time (approx. date)?

	Reason for participating in [the education program title]:
	How does this program fit into your curriculum?
	The objective(s) of [the education program title] was clear.
	Yes		No
	The length of the program was appropriate.
	Yes		No
	The program was conducted in the allotted time.
	Yes		No
	The program description was informative.
	Yes		No
	The registration process was user-friendly.
	Yes		No
	The registration fee was reasonable.
	Yes		No
	The handouts were useful and/or informative.
	Yes		No
	The material provided effectively aligns with current education standards.
	Yes		No
	The activities, assignments, and/or other requirements were appropriate.
	Yes		No
	The content of the program was presented in an age appropriate manner.
	Yes		No
	The teaching techniques used engaged my students.
	Yes		No
	The program meets my students’ needs.
	Yes		No
	Overall, the program met its stated objective(s) (166).
	Strongly Agree	Agree	Disagree	Strongly Disagree
	Will you recommend this program to other educators (167)?
	Yes		No
	The [facilitator/speaker/presenter(s)] was organized and prepared.
	Yes		No
	The [facilitator/speaker/presenter(s)] encouraged participation.
	Yes		No
	The [facilitator/speaker/presenter(s)] was knowledgeable about the topic.
	Yes		No
	The [facilitator/speaker/presenter(s)] was responsive to questions.
	Yes		No
	The [facilitator/speaker/presenter(s)] was engaging.
	Yes		No
	The [facilitator/speaker/presenter(s)] kept the program focused.
	Yes		No
	The [facilitator/speaker/presenter(s)] kept the participants focused.
	Yes		No
	Overall, the [facilitator/speaker/presenter(s)] was effective (168).
	Strongly Agree	Agree	Disagree	Strongly Disagree
	The audiovisual technologies were fully functioning (164).
	Yes		No
	The facilities were clean and well maintained (163).
	Yes		No
	The space(s) used provided a comfortable setting for the program.
	Yes		No
	The program met my expectations.
	Yes		No
	How could this program be improved?
	What topic(s) would you like to see addressed in the future?
	Additional Comment(s):
PUBLIC PROGRAMS SECTION
	Overall, I am satisfied with my public program experience today (181)*.
	Strongly Agree	Agree	Disagree	Strongly Disagree
	Is this your first public program at [our museum] (182)?
	Yes		No
	If you have previously participated in [public program title], when was the most recent time (approx. date)?
	Reason for attending in [the public program title].
	I would recommend [the public program title] to others.
	Yes		No
	I will attend another public program in the future.
	Yes		No

	How did you learn about [the public program title]?
	Brochure or flyer		Calendar of events		Magazine
	Newsletter		Newspaper		Promotional Signs
	Radio or television		Social media (Facebook© or Twitter©)		Website
	Word of mouth or personal recommendation		Chartered or group tour		School tour
	Other:
	The objective(s) of [the public program title] was clear.
	Yes			No
	The length of the program was appropriate.
	Yes			No
	The public program was focused and on task throughout the presentation.
	Yes			No
	The program was conducted in the allotted time.
	Yes			No
	The program description was informative.
	Yes			No
	The program matched the description.
	Yes			No
	Overall, the program met its stated objective(s) (186).
	Strongly Agree	Agree		Disagree		Strongly Disagree
	The registration and/or reservation process was user-friendly.
	Yes			No
	The content is useful/important to me.
	Yes			No
	I learned something that will be useful to me.
	Yes			No
	I gained new knowledge and/or skill.
	Yes			No
	The handouts were useful and informative.
	Yes			No
	The audiovisual technologies were fully functioning (184).
	Yes			No
	The audiovisual materials were effective, clear, and appropriate.
	Yes			No
	How will you use the content from the program?
	The [moderator/speaker/presenter(s)] was organized and prepared.
	Yes			No
	The [moderator/speaker/presenter(s)] encouraged participation.
	Yes			No
	The [moderator/speaker/presenter(s)] was knowledgeable about the topic.
	Yes			No
	The [moderator/speaker/presenter(s)] was responsive to questions.
	Yes			No
	The [moderator/speaker/presenter(s)] was engaging.
	Yes			No
	The [moderator/speaker/presenter(s)] kept the program focused.
	Yes			No
	The [moderator/speaker/presenter(s)] kept the participants focused.
	Yes			No
	Overall, the [moderator/speaker/presenter(s)] was effective (188).
	Strongly Agree	Agree		Disagree		Strongly Disagree
	The space for the public program was a comfortable setting for the presentation.
	Yes			No
	The facilities were clean and well maintained (183).
	Yes			No
	The program met my expectations.
	Yes			No
	The staff was helpful and informative.
	Yes			No
	How could this program be improved?
	What topic(s) would you like to see addressed in the future?
	Additional Comment(s):
	Sex:
	Female			Male
ADDITIONAL DEMOGRAPHIC SECTION
	Age:
	18-24		25-34		35-44
	45-55		56-64		65+

	Race and ethnicity (circle or write-in all that apply):
	White	Black or African American
	American Indian or Alaskan Native	South Indian
	Chinese	Japanese
	Filipino	Korean
	Vietnamese	Other Asian:­­­______________________________________________
	Native Hawaiian	Guamanian or Chamorro
	Samoan	Other Pacific Islander:________________________
	Other:
	Hispanic, Spanish or Latino Origin?
	Yes	No
	Country:
	State:
	Zip Code:

PAPERWORK REDUCTION ACT PUBLIC BURDEN STATEMENT: You are not required to provide the information requested on a form that is subject to the Paperwork Reduction Act unless the form displays a valid OMB control number. Public burden reporting for this collection of information is estimated to be less than 5 minutes per response. Send comments regarding the burden estimate or any other aspect of the collection of information, including suggestions for reducing this burden, to National Archives and Records Administration (MP), 8601 Adelphi Rd, College Park, MD 20740-6001. DO NOT SEND COMPLETED FORMS TO THIS ADDRESS.

OMB Control No. 3095-0070, expiration date 12/31/2020 NA Form 2026 XX (XX-19)