Carnegie Museums of Pittsburgh - Survey

1.

Please complete the fields below.


*	First Name: Required
*	Last Name: Required
*	Email: Required
*	Street 1: Required
	Street 2:
*	City: Required
*	State / Province: Required
*	ZIP / Postal Code: Required
*	Country: Required
*	Phone Number: Required
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*2.

Question - Required - Number of adult guests?

*3.

Question - Required - Number of guests who are ages 2-12?

Maximum number of people per family is four.

*4.

Question - Required - School Name:

*5.

Question - Required - Grade(s) and subject(s) taught:

6.

How did you hear about this event?

(Select one of the available choices or enter a different value.)
Question - Not Required -

*7.

Question - Required - Do you plan to participate in a virtual Science Center program with your students in 2023?

Yes

No

Undecided

*8.

Question - Required - Are you planning an in-person field trip to the Science Center in 2023?

Yes

No

Undecided