Evaluate Science on the Road Form

Name *

Group Name

Name of program *

E-mail Address: *

Date of Visit *

Presenter name

Name of school *

School district *

Was this your first experience with Science on the Road? *

Yes
No

Why did you decide to book this visit?

How did you hear about the Science on the Road program? *

Previous visit
Field Trip Planner
Science on the Road publication
Website
Other

Do you also visit Carnegie Science Center for field trips? *

Yes
No

What could we do to better meet your educational or classroom needs?

Would you recommend Science on the Road to others? *

Yes
No

Please add any other comments that would help us improve your experience. *

We are collecting positive stories about our outreach program. Were any members of your class particularly inspired by the presentation? If so, please tell us about your observations.

Reservation/confirmation process *