WA Statewide Database Trials: Interest Form for 2010

1. Statewide Database Trials - Interest Form for 2010

Please fill out the following survey, once for each resource in which you are interested. Your contact information will only be shared with those vendors providing resources in which you express an interest.

Question Title

1. Please enter your contact information below. All fields are required.

Name:

Library:

City/Town:

Email:

Phone:

Question Title

2. I am the person that selects and purchases database products for my library.

Yes

Question Title

3. Select Library Type

K-12

Public (pop. under 25k)

Public (pop. over 25k)

2-yr Academic (CTC)

4-yr Academic (Public)

4-yr Academic (Private)

Special - Medical/Hospital

Special - Business/Law

Special - Other

Question Title

4. Please input the database product you are interested in (subsequent questions refer to the product you input here).

Question Title

5. Please indicate your interest level in this database product.

	1 (not interested)	2 (somewhat interested)	3 (very interested)
My level of interest is	My level of interest is 1 (not interested)	My level of interest is 2 (somewhat interested)	My level of interest is 3 (very interested)

Question Title

6. Does your library currently subscribe to this product?

Yes

I don't know

Question Title

7. Would your library be interested in purchasing this product?

Yes (definitely, we are very interested)

Yes (but only as part of a discounted or group purchase)

No (but we'd like to stay informed on this product)

Other (please specify)

Question Title

1. Please enter your contact information below. All fields are required.

Question Title

2. I am the person that selects and purchases database products for my library.

Question Title

3. Select Library Type

Question Title

4. Please input the database product you are interested in (subsequent questions refer to the product you input here).

Question Title

5. Please indicate your interest level in this database product.

Question Title

6. Does your library currently subscribe to this product?

Question Title

7. Would your library be interested in purchasing this product?

Question Title

8. Do you have any additional comments?