National Outreach Program Initiative (NOPI)

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

na-2026inst_8_2021_83C

National Outreach Program Initiative (NOPI)

OMB: 3095-0070

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SURVEY TITLE

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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 and/or reservation 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):


Additional Comment(s):

Any suggestions of multicultural holidays or performers you think we should consider for future program offerings?


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:





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OMB Control No. 3095-0070, expiration date 1/31/2024 NA Form 2026 XX (XX-21)

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File Titlena-2026inst
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File Created2021-08-27

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