* 1. Name of the Performer or Program:

* 2. Location of the Program

* 3. When was the program?

Date
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* 4. How did you hear about the program?

* 5. Have you signed up for the reading portion of the Summer Reading Program?

* 6. Would you like to see this performer/topic at the library again?

* 7. Overall, how would you rate this program?

* 8. Your praise, criticism, and suggestions are welcome. What can we do to improve your library experience?

* 9. If you would like to be entered into a prize drawing, please provide contact information below. Thank you for your input!

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