The Rotunda Survey

1. Contact Information

Name
Phone number (optional)
Email address

2. Would you like your email address to be added to our mailing list (sent weekly)?

Yes
No

3. Location

Home zip code
Work zip code

4. Gender

Male
Female
Other

4a. Gender continued

If other, please specify

5. Age (if you are under 18 please have a parent or guardian fill this out)
6. Please list your race(s) (optional)

7. Your profession
7a. If you are a student, please specify the institution that you attend.

7b. If other, please specify.

8. Your Annual Income (optional)
9. How did you hear about The Rotunda? (Please select all that apply to you)

9a. If other, please specify.

10. How many times in the past 12 months have you attended an event at The Rotunda?
11. Do you plan to come back to The Rotunda?

Yes
No
Not sure

11a. If you do not plan to come back to The Rotunda, please explain.

12. What kind(s) of event(s) have you attended at The Rotunda? (Please select all that apply)
12a. If other, please specify.

13. What is it about The Rotunda and/or its programming that is appealing to you?

14. If you were asked to pay to attend events at The Rotunda, what would you be willing to pay?
15. Do you regularly patron businesses within a 5 block radius of The Rotunda before and/or after attending events?

Yes
No

15a. If so, which ones?
15b. If other, please specify.

16. How can we make The Rotunda even better?

17. Would you like to volunteer at the Rotunda?

Yes
No