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Cultural Heritage Status Report
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* Indicates required question
I am reporting on
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A museum
A collection
An archive
A cultural institution
Other:
This museum/colletion/archive/institution is called...
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Your answer
It is located in... (please provide an address or detailed location)
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Your answer
The status is:
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Undamaged
Minor damages
Moderately damaged
Severely damaged
Totally destroyed or lost
On a scale of 1-10, how severely is it damaged?
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No damage
1
2
3
4
5
6
7
8
9
10
Totally destroyed
Please select the nature of the damages (if any) - check all that apply
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Object loss
Physical destruction of items/exhibits
Water damage (rain)
Water damage (flooding)
Infestation
Fire
Power loss (lack of climate control, humidity, etc.)
Theft
Vandalism
No damages
Required
Please describe the damages (if any)
Your answer
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