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* 1. Your Name:

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* 2. Your email address:

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* 3. Which branch library are you leaving feedback for?

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* 4. What day did you visit the library?

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