Forms • City of Great Bend • CivicEngage

What is the date of your visit?*

What state are you from?

How often do you visit the zoo?*

	First Time
	Weekly

	Monthly
	Yearly

What is the purpose of your visit?

	Vacation
	Business
	Visiting family/friends
	Education

	Considering moving here
	Attending a special event
	Just passing through
	Resident to the area

How many adults in your party age 18 years and over?

How many youth in your party aged under 18?

Are you a member of the Great Bend Zoological Society?

Yes

No

Have you made any donations to the zoo?

Yes

No

Did you purchase anything from the gift shop?

Yes

No

Would you like us to stock a certain item in the gift shop?

Were you greeted upon entering the facility?

Yes

No

What is your impression of the raptor center?

	Excellent
	Good

	Fair
	Poor

What is your impression of the zoo?

	Excellent
	Good

	Fair
	Poor

Rate the Cleanliness of the facility?

	Excellent
	Good

	Fair
	Poor

Rate the friendliness of the staff

	Excellent
	Good

	Fair
	Poor

Did you attend an animal program? If so which one?

	Birthday party
	Zookeeper talk
	School education program

	Private program or tour
	Camp
	No, I didnt attend any programs

How would you rate the program?

	Excellent
	Good

	Fair
	Poor

How could we improve the program? What would you like to see?

Answer if applies...
Did you rent the facility? If so, what was the occasion?

	Birthday party
	Baby shower
	Wedding

	Private party
	No I did not rent the facility

How would you rate your rental experience?

	Excellent
	Good

	Fair
	Poor

Was your rental a good value for money?

Yes

No

How would you rate your overall experience?

	Excellent
	Good

	Fair
	Poor

Would you visit again, if you had the opportunity?

Yes

No

What can we do to make your visit more enjoyable?

Can we contact you or add you to our mailing list for future updates and events at the zoo? (If so please add your name and email address)

* indicates required fields.

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