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* 1. Name of program:

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* 2. Date/time of program:

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* 3. Location of program:

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

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

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

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* 7. Please rate this program:

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

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