Exit this survey One Book Traveling Trunks 1. Question Title * 1. Name of Person Completing Survey Question Title * 2. Name of Facility Question Title * 3. Address of Facility Question Title * 4. Phone Number of Facility Question Title * 5. Email of Facility Question Title * 6. Type of Facility Public Library Childcare Facility Head Start Program Other Other (please specify) Question Title * 7. County Question Title * 8. What Traveling Trunk did you use A. Kite Day B. Number One Sam C. Stripes of all Types D. Stop Snoring Bernard E. Inside Mouse, Outside Mouse F. A Splendid Friend, Indeed G. Up, Down and Around H. If You Were a Penguin I. What a Treasure! J. Whose Shoes K. Bus for Us Other (please specify) Question Title * 9. Number of times the Trunk was used Question Title * 10. Number of children you used the Trunk with Question Title * 11. Please list the number of chidren in each age group you used the Trunk with. birth to 2 year olds 3 and 4 year olds 5 and 6 year olds 7 to 10 years old older than 10 Question Title * 12. Did you use the activity guide? yes no Question Title * 13. Please describe briefly how you used the Trunk Question Title * 14. Please rate the Trunk for its usefulness to you Very Useful Somewhat Useful Useful Not Very Useful Not Usefull at All Question Title * 15. Would you recommend the Traveling Trunk to a co-worker or peer? Yes Maybe No Done