1.

* 1. Name of program:

* 2. Date/time of program:

* 3. Location of program:

* 4. In what city is your home library located?

* 5. Is this your first time in this library?

* 6. How did you hear about this program? Check all that apply.

* 7. Please rate this program:

* 8. Can you suggest any other programs you would like to see?

T