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* 1. Program Title

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* 2. Date of Program and Time

Date
Time

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

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* 4. Comments about the Program or Speaker?

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* 5. How did you hear about the program?

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

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* 7. Your age range?

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* 8. Where do you live within the Indian Trails Library District?

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

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

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

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