TEACHER SURVEY
Name
E-Mail
School
Grade Level(s)
Date of Visit
Performance

- Was this your first visit to the Roxy?     Yes   No
- How did you hear about the Roxy? (Check all that apply.)
	Email Newspaper From another teacher >From a parent Past visit Other:
- Would you recommend the Roxy to other educators?     Yes   No
- Please rate the following on a scale of 1 to 5 (1=very poor, 2=poor, 3=neutral, 4=good, 5=excellent):
	Ease of booking field trip:    1   2   3   4   5 Friendliness and helpfulness of staff:    1   2   3   4   5 Educational value of performance:    1   2   3   4   5 Entertainment value of performance:    1   2   3   4   5
- List any shows that you would like to see performed at the Roxy (including any past shows to which you would bring your students again):
- How can we improve your field trip experience at the Roxy in the future?