Please highlight this form and either print and send it to the Washakie Museum at:

2200 Big Horn Ave. Worland, WY  82401

OR e-mail it to us at rgoforth@washakiemuseum.org.

 

 

Please take a moment to answer the question on this evaluation form.  Your answers may assist the Washakie Museum in planning and improving future programs.  This evaluation is confidential-please do not include your name or contact information.  If you have a specific question or comment not relating to this evaluation form, please contact the Washakie Museum. 

Student Evaluation (K-5):

 

 

1. How old are you?  __________                

                           

2. Are you male or female? (circle) 

 

3. What grade are you in? _________

 

4. What school do you attend? _______________________________________________

 

5. Your ethnic background:  Caucasian____   Hispanic_____   Asian_____   African American_____  Native American_____  Other_____

 

6. What did you learn today?

 

                 ______________________________________________________________________


                 ______________________________________________________________________

 

7. Circle the activity you like the most:

 

Painting

Drawing

Singing

Acting

Playing a musical instrument

Dancing

Writing stories

Other: __________

 

8. What other art activities are you interested in learning?

 

____________________________________________________

 

 

THANK YOU!

 

 
 
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