On-line Survey Form

 

1. Please enter the date

Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2008 2009 2010 2011 2012 2013 2014 2015

 

2. Name of organization

 

3. Name of individual completing this survey

 

4. Title of individual completing this survey

 

5. Organization's mission statement (Please limit to 250 words)

 

6. Physical Address

Street or P.O. Box:
City / Town: :
State:
ZIP Code/Country:

 

 

7. Mailing Address (if different than above)

Street or P.O. Box:
City / Town: :
State:
ZIP Code/Country:

 

 

8. Contact Information

Phone number including area code:
800 number:
Website address:
Contact person name:
Contact person title:
Contact phone number:
Contact e-mail address:

 

9. What are your hours of operation? (Please check all that apply).

Weekdays

Weekends

Limited Hours

By appointment only

 

10. Is your facility Americans with Disabilites Act compliant?

Yes
No

 

11. Please answer the following yes or no questions regarding your research facilites.

Do you offer research facilities for public use?	Yes No
If yes, is there a fee?	Yes No
Do you offer research assistance?	Yes No
If yes, is there a fee?	Yes No

 

12. What is the history of your collection? How did it develop? (Please limit to 400 words).

 

13. Who uses your collection? (Please check all that apply).

Members

General Public

Government

Academic Researchers

Other (please specify)

 

14. What are the top three questions asked by your patrons?

1.

2.

3.

 

15. From the formats listed below, please indicate all Seattle and King County architecture, heritage- and/or preservation-related holdings in your collection. (Please check all that apply).

Books

Periodicals / Journals

Audio

Video

Photography

Ephemera

Artifacts / Objects

Maps

Documents

Other (please specify)

 

16. How do members access your collections?

Circulating
Non-Circulating

 

17. From the categories listed, please indicate which Seattle and King County related architecture, heritage, and/or preservation-related holdings are in your collections. (Please check all that apply).

Periodicals / Journals

Building Plans

Building Records

Restoration How To and Techniques

Neighborhood Plans

Local and Regional Histories

Biographies

Landmark Nominations

Public Policy Statements

Books Enviromental Impact Documents

Oral Histories

Historic Structure Reports

Company Records

Audio Material

Manuscript Records

Video Material / Photographic Collection

Preservation Policy and Law

Ephemera

Architects

Builders

Interiors

Other (please specify)

 

18. Would your organization be willing to work with Historic Seattle as we continue to develop and potentially expand the capabilites of our Database Catalog system?

Yes
No
Maybe

 

19. Would your organization be willing to provide any of the following materials to assist the collection development at Historic Seattle? (Please check all that apply).

Duplicate titles from your collection

An inventory list of your collection

Your organization's Collection Management Policy

Your organization's supporting literature and brochures

 

Thank you for completing this survey. To show our appreciation for your participation, your organization will be listed under Survey Profiles on the Historic Seattle website.

Co-sponsored by 4-Culture