Program Feedback Form

Feedback Form
Thank you for joining us at Delaware State Parks! This information will help us improve Delaware State Parks programming and will not be shared with third parties for marketing purposes.
Home zip code*
The person filling out this form is 18 years of age or older:*

YesNo

Please list the number of people in your group according to age range:

	number of people in each:
Under 18
18 - 24
25 - 34
35 - 44
45 - 54
55 - 64
65+

Please indicate the race/ethnicity of all individuals in your group (select all that apply)

American Indian/Alaskan NativeHispanic or LatinoBlack or African-AmericanWhiteAsianNative Hawaiian or other Pacific Islander
Gender

MaleFemaleNon-BinaryPrefer not to answer
Which park/site hosted the program? *
Program Date:*

MonthDayYear
Program Name
How many stars from 1 to 5 (5 being the highest), would you rate your enjoyment of the program?

Please add related comments in the comment section below.
Would you recommend this program to others? If no, please let us know below.*

YesNo
Was this your first program with Delaware State Parks (and/or the Brandywine Zoo)?*

YesNo
Did this program motivate you to learn more about or help protect Delaware's natural, historical and cultural resources?

YesNoUnsure
Did you visit this park/site specifically for this program?*

YesNoThis was a virtual program.
How did you hear about this program?*

Social MediaDE State Parks WebsitePrinted Guide or Park FlyerPark Bulletin Board
This program was priced*

Too highToo lowJust rightFree
Are there any additional comments you would like to share?
Provide an e-mail address to be added to our mailing list(s).
This information is optional and will not be shared with third parties.
Indicate the mailing lists you would like to join.

Delaware State Parks mailing listThis park or site's mailing listVolunteering opportunitiesGroup programming opportunities (schools, scouts)
Name (to share a photo, please provide your name)

First NameLast Name
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By submitting your photo, you agree to allow the Delaware Division of Parks and Recreation, d.b.a. Delaware State Parks, the free use of your photograph in printed and/or digital publications, including web-based publications, without payment, remuneration or other form of compensation. Cancelof
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