Name of the Performer or Program:

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* 1. Name of the Performer or Program:

Location of the Program

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* 2. Location of the Program

When was the program?

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* 3. When was the program?

Date
How did you hear about the program?

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* 4. How did you hear about the program?

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

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

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

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

Overall, how would you rate this program?

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

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

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

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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* 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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