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Field Trip Survey

ICR 202610-3095-001 · OMB 3095-0070 · Object 173959000.

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application/pdf
Field Trip Survey
wkhtmltopdf 0.12.6
2026-10-06
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Welcome to the Education Program Survey

Instructions: Tell us about your experience today by selecting your choices.
This valuable information will improve future public outreach programs. We
appreciate your feedback. Thank you for helping us serve you better.
*Numbers are for internal purposes only*
OMB Control No. 3095-0070
Expiration date 12/31/2026

1. What location did you visit?

2. What was the date of the field trip?

Select from calendar below:

Date

MM/DD/YYYY

* 3. Please select the name of the program you attended during the field trip.
Select only one
America's Freedom
Train
Art and Architecture
of the National
Archives
Art and Architecture
of the National
Archives-Large Group
Archives Explorer:
Discover Stories in
the National Archives
The Declaration at
250: Symbolizing
Freedom
Make Your Voice
Count
Voices of
Independence
Remember the
Ladies: Women's
Rights from the
Revolution to the ERA

4. Overall, I am satisfied with my students’ group program experience today (161)*.
Strongly Agree
Agree
Disagree
Strongly Disagree

5. Is this your first time for your students to participate in a field trip program (162)?
Yes
No

6. How did you learn about the field trip programs?
Brochure or flyer
Newsletter
Promotional signs
Teacher Conference
Calendar of Events
Newspaper
Radio or Television
Website
Magazine
Professional publication
Social media (Facebook© or Twitter©)
Word of mouth or personal recommendation
Other (please specify)

7. The content of the program was presented in an age appropriate manner.
Yes
No

8. Overall, the program met its stated objective(s) (166).
Strongly Agree
Agree
Disagree
Strongly Disagree

9. Will you recommend this program to other educators (167)?
Yes
No

10. Reason for participating (86):

11. Overall, the facilitator was effective (168).
Strongly Agree
Agree
Disagree
Strongly Disagree

12. The audiovisual technologies were fully functioning (164).
Yes
No

13. The facilities were clean and well maintained (163).
Yes
No

14. How could this program be improved?

15. Additional Comment(s):

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 12/31/2026