Tell Us What You Think to

Win an IPOD and

Other Great Prizes!

We want to make Your Town Public Library the best library for you by offering the materials you want!
We value your feedback, so please take a few minutes to answer this brief survey. Your responses will
be kept strictly anonymous. Thank you!

1) How often have you used the library within the last 12 months?

Never 1-3 times 4-10 times 1050 times Weekly or more

2) What materials do you borrow most frequently? (Please circle your top 3)

Printed Books E-books Music CDs Music Downloads/Streaming Audiobooks
Video games DVDs/Blu-Rays Other (please explain) ______________________

3) If you download books, what device do you use for reading?

___Kindle/Nook ___Computer ___Smart Phone ___Tablet ___Other (please explain) ______________

4) If you dont check out items from the library, what keeps you from doing so? (Please check all that apply)

A. I have fines I dont want to pay E. I dont have transportation to the library
B. I cant find what I want at the library F. I dont have time to read
C. I dont have a library card G. I dont like reading
D. Other (please explain)_____________________________________________________

5) Please check all area(s) in which you would like to see the librarys collection enhanced.

General Non-Fiction General Fiction
A. Religion/Philosophy K. Mystery
B. History L. Science Fiction/Fantasy
C. Science/Technology M. Romance
D. Health/Medical N. Western
E. Travel Other
F. Self Help O. Audio/Video
G. Biography P. Magazines/Newspapers
H. Art/Culture/Poetry Q. Children's materials
I. Cooking/Crafts R. Video Games
J.
Foreign Language Materials (please specify)
_________________________ S.
Other (please specify)
__________________________________

6) Were you aware that if you are looking for an item and the library does not have it, a librarian can request to
borrow the item from a different library for you? ___ Yes ___ No

Optional: For statistical purposes, please tell us your gender and age. ______________________________

Optional: Please provide your name, and e-mail address or phone number. Your information will only be used to
notify you if you won a prize. We will not contact you or use your information for any other purpose.

Name______________________________ Email address or phone #______________________________