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* 1. How many children/teens are in your home?

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* 2. What are the ages of the children/teens living in your home?

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* 3. My children/teen...

  weekly monthly once a year never Only for the Summer Reading Program
Participate in programming at the library

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* 4. What day(s) and time(s) would your children be likely to attend programming? Please check all that appyly.

  Mornings 9-11 am Midday 12-2 pm Afternoon 3-5 pm Evening 6-8 pm
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

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* 5. What types of programs would your children/teens be interested in participating in at the library?

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* 6. What topics are your child/children interested in?  Please check all that apply.

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* 7. What other programs would your child/children like to see at the library?

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* 8. Do you have a profession, skill, or talent that you would like to share with the youth of our community?

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* 9. Was there a program or event that your child/children especially enjoyed attending at the library?  If so, what program?  What did they like about it?

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* 10. What is the primary reason your child/children come to the library (choose only one)?

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* 11. Your input is important to us.  Please feel free to share any other information regarding the library and its children/teen programs?

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* 12. Thank you for participating in this survey. Completion of this survey entitles you to three (3) raffle entries in the Friends of the Library holiday raffle. To be entered, please provide your name and email address or phone number. Must be Plaistow resident to be eligible for complimentary entries. Proof of residency required.

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* 13. Please select the number of entries for each raffle item (limit 3 entries in total):

  No. of Entries
Kindle Fire HD 7
Kid's Mini Grand Piano
Special Edition Avon Barbies (set of 2)

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