Carnegie Museums of Pittsburgh - Survey - CSC Science on the Road Evaluation Form

CSC Science on the Road Evaluation Form

We hope that you enjoyed our Science on the Road program. Please tell us about your experience so we can continue to improve our programs and services.

Evaluator


*	First Name: Required
*	Last Name: Required
*	Email: Required
*	Street 1: Required
	Street 2:
*	City: Required
*	State / Province: Required
*	ZIP / Postal Code: Required
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Question - Required - Group Name

Question - Required - Name of Program

Question - Required - Date of Visit Date - xx/xx/xxxx

Question - Required - Name of Presenter

Question - Required - Name of School

Question - Required - School District

Question - Required - Was this your first experience with Science on the Road?

Yes

Question - Not Required - Why did you decide to book this visit?

Question - Required - How did you hear about the Science on the Road program?

	Previous visit
	Field Trip Planner
	Science on the Road publication
	Website
	Other

Question - Required - Do you also visit Carnegie Science Center for field trips?

Yes

Question - Not Required - Please add any other comments that would help us improve your experience.

Question - Not Required - We are collecting positive stories about our outreach program. Were any members of your class particularly inspired by the presentation? If so, please tell us about your observations.

Question - Required - Reservation/confirmation process

very satisfied

satisfied

dissatisfied

n/a

Question - Required - Appropriate content and vocabulary

very satisfied

satisfied

dissatisfied

n/a

Question - Required - Knowledge level of presenter

very satisfied

satisfied

dissatisfied

n/a

Question - Required - Appearance and demeanor of presenter

very satisfied

satisfied

dissatisfied

n/a

Question - Required - Overall satisfaction with the program

very satisfied

satisfied

dissatisfied

n/a

Spam Control Text: Please leave this field empty