South Florida Museum

Survey
Progress: 
  


In order to better understand and best serve our audiences, please answer the following optional demographic questions.

 

 
15.


Please select your age bracket:

 

Under 15
16-20
21-34
35-49
50-64
65+
  • Comment:

  • 500 characters left.
16.


What is your gender?

 

Male
Female
17.


Please identify your area of residence:

 

Bradenton
Palmetto
Parrish
Anna Maria Island
Longboat Key
Lakewood Ranch
Sarasota
St. Petersburg
Tampa
Other  
18.

Please select your level of education:

 

Some High School
High School
Some College
College
Some Graduate Work
Graduate Degree
19.


Do you have children?

 

Yes
No
20.


If applicable, please provide the ages of your children(s):

 

 

<1 years old
1-4 years old
5-8 years old
9-12 years old
13-15 years old
16 and up
  • Comment:

  • 500 characters left.
21.


Additional comments or suggestions:

 

 

1000 characters left.
22.

To be entered into the drawing for a Museum prize package, please enter your email address or phone number below.

 


By entering my personal information, I consent to receive email communications from the survey author's organization based on the information collected.

First Name:
Last Name:
Home Phone:
Email Address:
emailaddress@xyz.com
Address 1:
Address 2:
City:
State/Province
(US/Canada):
Postal Code: