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1. Your Name: (Required.)

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2. Your email address: (Required.)

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3. Which branch library are you leaving feedback for? (Required.)

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4. What day did you visit the library? (Required.)

Date

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5. Who, if anyone, assisted you at that branch?

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6. On the following sliding scale, how would you rate your overall experience at the library?

Terrible Average Wonderful
Clear
i We adjusted the number you entered based on the slider’s scale.

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7. If you attended library programming, what program did you attend?

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8. In the following space, please leave any details about your library experience or suggestions for future library services, programs, or changes you'd like to see in the library: 

T