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  2. 2011
  3. February
  4. P
  5. PHM Screener NONMEMBERS
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* What is your gender?
 
Male
 
Female
 
 
 
* Into which age range do you fall?
 
18-24
 
25-34
 
35-44
 
45-54
 
55-65
 
65 or older
 
 
 
* How many children under the age of 18 live in your household?
 
0
 
1
 
2
 
3
 
More than 3
 
 
 
* Into which range does your total annual household income fall?
 
Under $30,000
 
$30,000 - $50,000
 
$50,001 - $75,000
 
$75,001 - $100,000
 
$100,001 - $150,000
 
Over $150,000
 
 
 
* Into which ethnic group do you classify yourself?
 
Caucasian or white
 
African-American or black
 
Hispanic or Latino
 
Asian
 
Other
 
 
 
* Please provide your zip code
   
 
 
On a scale of 1-5 with 5 being the most interested, how interested are you in Philadelphia cultural and historical activities?
1 Least Interested 2 3 4 5 Most Interested
*  
 
 
On a scale of 1-5 with 5 being the most interested, how interested are you in the history of Philadelphia?
1 Least Interested 2 3 4 5 Most Interested
*  
 
 
 
Which of the following have you visited within the last twelve months? (Please check all that apply)
 
Academy of Natural Sciences
 
Independence Mall Attractions
 
The University of Pennsylvania Museum of Anthropology and Archeology
 
Pennsylvania Academy of Fine Arts
 
Franklin Institute
 
Philadelphia Museum of Art
 
National Constitution Center
 
None of these

 
 
On a scale of 1-5, with 5 being most familiar, how familiar are you with the Philadelphia History Museum at the Atwater Kent (formerly known as The Atwater Kent Museum)?
1 Not Familiar 2 3 4 5 Very Familiar
*  
 
 
 
Please provide the email address where you can best be reached.
   
 
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