How are we filling your needs for library services? Please take the time to fill out this survey and return by mail or e-mail. Name (Optional) _______________ Phone (Optional) ___________________ (Please tell us who you are if you would like information or assistance with any topic below!) Gender: Male Female □ □ Age: Under 18 19-35 36-50 51-65 66-80 Over 80 □ □ □ □ □ □ Do you live: Alone With family In a residential facility □ □ □ How long have you used WRLBPH? Less than a year 1-5 years □ □ years Do you also buy recorded books? Yes No □ □ Do you also get books from your local public library? Yes No □ □ Do you have access to the Internet? Yes No □ □ Are you interested in downloading books and other materials direct to your computer? Yes No □ □ Library Services: Please tell us any services you would like more information about: The new Digital books and new format book player? Yes No □ □ Magazines for free subscription in audio or Braille? Yes No □ □ Newspapers (local and national) read over the telephone? Yes No □ □ Audio-described videos or DVDs? Yes No Would you prefer DVDs or □ □ VHS? (circle one) Old Time Radio shows? Yes No □ □ OverDrive downloadable books? Yes No □ □ National Library Service BARD download program? Yes No □ □ ABLE volunteers record or Braille personal items and things the Library doesn't have? Yes No □ □ Large print or Braille sheet music, and audio or Braille music instruction materials? Yes No □ □ Customer Satisfaction: Have you phoned or written to the Library in the past year? Yes No □ □ Would you like us to call you concerning: Book selections Your address change Cassette player problems Other needs _________________ (Please remember to give us your name and phone number so that we may contact you!) Are there authors or kinds of books you would like to read? On a scale of 1 (best) to 4 (worst), how satisfied are you with our service? □
How are we filling your needs for library services? Please take the time to fill out this survey and return by mail or e-mail. Name (Optional) _______________ Phone (Optional) ___________________ (Please tell us who you are if you would like information or assistance with any topic below!) Gender: □ Male □ Female Age: □ Under 18 □ 19-35 □ 36-50 □ 51-65 □ 66-80 □ Over 80 Do you live: □ Alone □ With family □ In a residential facility How long have you used WRLBPH? □ Less than a year □ 1-5 years years Do you also buy recorded books? □ Yes □ No Do you also get books from your local public library? □ Yes □ No Do you have access to the Internet? □ Yes □ No Are you interested in downloading books and other materials direct to your computer? □ Yes □ No Library Services: Please tell us any services you would like more information about: The new Digital books and new format book player? □ Yes □ No Magazines for free subscription in audio or Braille? □ Yes □ No Newspapers (local and national) read over the telephone? □ Yes □ No Audio-described videos or DVDs? □ Yes □ No Would you prefer DVDs or VHS? (circle one) Old Time Radio shows? □ Yes □ No OverDrive downloadable books? □ Yes □ No National Library Service BARD download program? □ Yes □ No ABLE volunteers record or Braille personal items and things the Library doesn't have? □ Yes □ No Large print or Braille sheet music, and audio or Braille music instruction materials? □ Yes □ No Customer Satisfaction: Have you phoned or written to the Library in the past year? □ Yes □ No Would you like us to call you concerning: Book selections Your address change Cassette player problems Other needs _________________ (Please remember to give us your name and phone number so that we may contact you!) Are there authors or kinds of books you would like to read? On a scale of 1 (best) to 4 (worst), how satisfied are you with our service? □