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Program/Event Feedback

Date of Program/Event

Program Name

Please Rate the Following

	Strongly agree	Agree	Neutral	Disagree	Strongly disagree
You learned something that is helpful	Strongly agree	Agree	Neutral	Disagree	Strongly disagree

You feel more confident about what you just learned?	Strongly agree	Agree	Neutral	Disagree	Strongly disagree

You intend to apply what you just learned?	Strongly agree	Agree	Neutral	Disagree	Strongly disagree

You are more aware of resources and services provided by the library?	Strongly agree	Agree	Neutral	Disagree	Strongly disagree

What did you like most about the program?

What could the library do to better assist you in learning more?

How did you learn about his program? (select all that apply)

Library Website

Social Media

Signs or Flyers in the Library

Library eNewsletter

Library Staff

Newspaper

Word of Mouth

Other

What types of programs would you like to see in the future?

Any suggestions for improvement?

OPTIONAL - Contact Information

First Name

Last Name

Phone

Email Address