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Tell Us About Your Visit

Name*
First Last
Email*
Zip Code*
Date of Visit*
Date Format: MM slash DD slash YYYY
Are you a member?*
- Yes
- No
How was your experience at the Adler Planetarium?*
- Extremely Enjoyable
- Mostly Enjoyable
- Enjoyable
- Somewhat Enjoyable
- Not Enjoyable At All
Please provide at least one reason for your answer.
Is there a staff member that contributed to this experience?
Would you prefer to be contacted? Please leave your preferred form of contact below.
How did you hear about us?
What would you like to be kept informed about at the Adler Planetarium?
- Adler After Dark (Ages 21+)
- Educator E-News
- Family Programs
- General Interest
- Lectures and Collections
- Observing Events
- Private Events
- Sun Salutations Yoga
- Teen Programs

Name*
First Last
Email*
Zip Code*
Date of Visit*
Date Format: MM slash DD slash YYYY
Are you a member?*
- Yes
- No
How was your experience at the Adler Planetarium?*
- Extremely Enjoyable
- Mostly Enjoyable
- Enjoyable
- Somewhat Enjoyable
- Not Enjoyable At All
Please provide at least one reason for your answer.
Is there a staff member that contributed to this experience?
Would you prefer to be contacted? Please leave your preferred form of contact below.
How did you hear about us?
What would you like to be kept informed about at the Adler Planetarium?
- Adler After Dark (Ages 21+)
- Educator E-News
- Family Programs
- General Interest
- Lectures and Collections
- Observing Events
- Private Events
- Sun Salutations Yoga
- Teen Programs

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