Visitor Kiosk

Visitor Feedback Form

Salutation
— None —Mr.Ms.Mrs.Dr.Prof.Mx.

First Name

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Would you like to receive the Benalla Art Gallery e-newsletter?
— None —YesNo

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Your main reason for visiting today
— None —Visiting the entire gallerySeeing a particular exhibitionMaking a purchase from gift shopFor coffee/meal in cafeEntertaining out of town visitorsSomething to interest the childrenHolidaying/touring the areaConducting research/school assignmentAttending a particular program/workshop/event

How would you rate your visit?
— None —5 – Excellent4 – Very Good3 – Good2 – Fair1 – Poor

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