Mad Science is committed to providing science programs which are both educational and entertaining.  As a Mad Science customer, your opinion is important to us.  Please take a moment to answer the following questions.  Your satisfaction is necessary to our success, and we welcome your evaluations.

Name:
Email:
Phone Number:
Activity:
Date of activity:
Location of activity:
Mad Scientist (if known):
On a scale of 1-5 please rate the following:	1=Not Satisfied . . . .   5=Completly Satisfied
Was the Mad Scientist on-time ?	1        2        3        4        5
Did the audience participate an appropriate amount?	1        2        3        4        5
Was the Mad Scientist fun and energetic?	1        2        3        4        5
Was the children's interest held?	1        2        3        4        5
Were the activities age appropriate?	1        2        3        4        5
Was the value provided worth the price paid?	1        2        3        4        5
What is your overall opinion of the event?	1        2        3        4        5
Comments: