Clone of Guestbook

In the coming months, we intend to increase the number, variety, and quality of our Programs. You can help us in this endeavor by completing this survey and answering a few questions.

Tell us more about your level of interest in each of the following categories below.

Select the approriate selection it each dropdown box, with 1 being NO interest to 5 being EXTREMELY interested in the topic relating to Champaign County.

* Indicates required field

Champaign County's role in various wars and/or conflicts

Noteworthy Champaign County residents

Historic Champaign County events

Champaign County Cities and Villages' history

Champaign County businesses' history

Champaign County sports and personalities

Other or more specific programs (please provide examples in comment box following this question)

If you have a specific program topic and/or speaker you would like to see in the future, please let us know here:

There is a difference between a good and a great program. Please describe what aspects of a program make them either bad, good, or great.

Would like to volunteer in recruiting or introducing us to a potential speaker, help develop a presentation, etc.? Let us know how to contact you in the box below!

Thank you! Please include your contact information near the bottom of the survey!

To accommodate more programs and attract additional audiences, would you attend a program during the week? If so, please indicate your preference of day-of-the week, and time of day (Mornings at 10am, Afternoons at 2pm, Evenings at 6 or 7 pm). You may select more than one option:

Any additional comments about programs?

What is your overall impression of our Museum?

Name

First NameLast Name

Email Address

example@example.com

Phone Number

Format: (000) 000-0000.

Add a comment or question here:

Program Interest Survey