Summer Reading Program Survey 2017

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* 1. Which program did you attend today?

Program Name:

Program Date:

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* 2. Where did you attend a program today?

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* 3. Please rate the impact of the program you attended:

	Strongly Disagree	Disagree	Neither Agree nor Disagree	Agree	Strongly Agree	N/A
You learned something that you can share with your children	You learned something that you can share with your children Strongly Disagree	You learned something that you can share with your children Disagree	You learned something that you can share with your children Neither Agree nor Disagree	You learned something that you can share with your children Agree	You learned something that you can share with your children Strongly Agree	You learned something that you can share with your children N/A
You feel more confident to help your children learn	You feel more confident to help your children learn Strongly Disagree	You feel more confident to help your children learn Disagree	You feel more confident to help your children learn Neither Agree nor Disagree	You feel more confident to help your children learn Agree	You feel more confident to help your children learn Strongly Agree	You feel more confident to help your children learn N/A
You will spend more time interacting with your children (e.g. reading talking, singing, writing, playing)	You will spend more time interacting with your children (e.g. reading talking, singing, writing, playing) Strongly Disagree	You will spend more time interacting with your children (e.g. reading talking, singing, writing, playing) Disagree	You will spend more time interacting with your children (e.g. reading talking, singing, writing, playing) Neither Agree nor Disagree	You will spend more time interacting with your children (e.g. reading talking, singing, writing, playing) Agree	You will spend more time interacting with your children (e.g. reading talking, singing, writing, playing) Strongly Agree	You will spend more time interacting with your children (e.g. reading talking, singing, writing, playing) N/A
You are more aware of applicable resources and services provided by the library	You are more aware of applicable resources and services provided by the library Strongly Disagree	You are more aware of applicable resources and services provided by the library Disagree	You are more aware of applicable resources and services provided by the library Neither Agree nor Disagree	You are more aware of applicable resources and services provided by the library Agree	You are more aware of applicable resources and services provided by the library Strongly Agree	You are more aware of applicable resources and services provided by the library N/A

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* 4. Please indicate your agreement to the following statement with 10 being the highest level of agreement: I would recommend this program to a friend.

1 Strongly Disagree

10 Strongly Agree

1 Strongly Disagree

10 Strongly Agree

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* 5. What did you like most about the program?

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* 6. What could the library do to improve your children's enjoyment of reading and learning?

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* 7. How did you hear about this program?

Library website

Poster at the library

Local event website

Library magazine

Library staff

Local newspaper

Library email

Friend/family

TV / Radio Advertisement

Library Video

Other (please specify)

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* 8. How old is your child?

0 to 3 years

3 to 5 years

6 to 8 years

9 to 12 years

13 to 18 years

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* 1. Which program did you attend today?

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* 2. Where did you attend a program today?

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* 3. Please rate the impact of the program you attended:

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* 4. Please indicate your agreement to the following statement with 10 being the highest level of agreement: I would recommend this program to a friend.

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* 5. What did you like most about the program?

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* 6. What could the library do to improve your children's enjoyment of reading and learning?

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* 7. How did you hear about this program?

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* 8. How old is your child?

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* 9. Which programs have been your favorite this summer?