Q1

Date of visit

Q2

Where do you live? (Postcode)

Q3

Have you travelled from outside the UK to visit us?

--Click Here--YesNo

If so please tell us where from

Q4

Is this your first visit to Charnwood museum?

--Click Here--YesNo

If no, how many times have you visited in the last 12 months?

--Click Here--Once2-3 4-6 7 +

Q5	Will you visit again?
		Yes		Quite likely		Not sure		Unlikely		No
	This year
	Ever

Q6

Would you recommend Charnwood museum to anyone else?

--Click Here--YesNo

Q7

How far away are you staying from this site?

--Click Here--Less than 15 mins15 min - 30 mins30 mins - 1 hour1 - 2 hoursOver 2 hours

Q8	How did you get here today? (tick as many as required)
	On foot		Car or van		Coach (trip)		Bicycle		Motorbike
	Bus		Taxi		Train

Q9

How easily did you find Charnwood museum?

--Click Here--EasyOkayDifficult

If you found it difficult, what would have helped

Q10	What was the main reason for your visit today? (tick as many as required)
	To see a particular exhibition / show		To do something with friends/family		Visiting the area
	To vist the shop		To vist the cafe		To attend a class/workshop
	For fun/entertainment		Education		For an event/activity
	To see an item from museum collection		Other

If Other please specify

Q11	Please rate each of the following on a scale of 1 to 5 ( where 5 is very good and 1 is very poor)
		V. Good  5		4		3		2		V. Poor  1
	Customer care
	Opening times
	General upkeep of site
	Accessibility
	Gift shop
	Cafe
	Event/activity
	Cleanliness of the toilets
	Temporary exhibition
	Information before visit
	Information at Charnwood museum
	Signage to Charnwood museum
	Signage at Charnwood museum
	Overall enjoyment of visit

Q12	Please tick if you heard about Charnwood museum from any of the following recently (tick as many as required)
	Recommended		Regular/previous visitor		Child went on school visit
	Charnwood museum leaflet		Events Guide		What's On (www.leics.gov.uk)
	Museums Guide		Newspaper		TV
	Radio		Road signs		Passing by
	Inspiring short breaks & holidays in Leicestershire		Great Days Out in Leicestershire		Information was sent to me (mail / email)
	Poster		Voucher		Internet/web site
	Other

If Other please specify

If Newspaper please specify which one

Q13

Do you have any general comments?

Q14

What other visitor attractions have you visited recently?

We are collecting infomation about the type of audience that visit our site to improve our offer to all sections of the community. Please could you help us by providing the following information about your group visiting Charnwood museum today

Q15	How many people are there in your individual party including yourself?
	Adults
	Children (under 16)

Q16	How many in your group are
	Male
	Female

Q17	How many people in your group fall into the following age ranges
	0 -  5
	6 - 11
	12-15
	16-19
	20-24
	25-34
	35-44
	45-54
	55-64
	65-74
	75 or over

Q18	How many in your group are
	White British
	White Irish
	Other White
	Asian or Asian British
	Black or Black British
	Chinese
	Other Ethnic origin

If Other, please specify

	Please state which countries of origin people in your group are from

Q19

Are any of your group considered to have a disability?

--Click Here--YesNo