* 1. Program Title

* 2. Date of Program

Class Date
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* 3. This program was of value to me because: (select all that apply)

* 4. Comments about the speaker(s)?

* 5. Any additional comments about the program?

* 6. How did you hear about the program?

* 7. What other topics would you like covered in future programs? (select all that apply)

* 8. Your age range

* 9. Where do you live within Arlington Heights?

* 10. May we contact you about your library program experience? (optional)

Thank you for completing our Program Evaluation. Your feedback is important to us.

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