* 1. Program Title

* 2. Date of Program

Program Date
/
/

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

* 4. Would you attend another program by this presenter?

* 5. Would you attend another program on this subject?

* 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 the Indian Trails Public Library District?

* 10. What day of the week do you prefer to attend library programs?

* 11. What time of day do you prefer to attend a program?

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

* 13. Please enter your email address to sign up for our monthly eNews:

T