1. Select your age group:    Child: 0-5     Youth: 6-11     Teen: 12-18    Adult: 19+

2. How did you first learn about the Summer Reading Program?
   at the library     at school     from a friend     media (newspaper, TV, radio)    other source

3. Please rate the quality of the Summer Reading Program entertainment/workshops (magic shows, music, etc):
   Poor    Fair    Good    Excellent

4. Does the Summer Reading Program help your children maintain or improve their reading skills during the summer?
   Yes    No    N/A

5. Do the prizes help you/your child want to read?    Yes    No

6. Do the prizes help you/your child want to visit the library?    Yes    No

7. Which prizes did you like?

8. Which prizes did you NOT like?

9. What did you like most about the Summer Reading Program?

10. What changes, if any would you suggest for next year's program?

11. Additional comments:

    Thank you!