Your Library Name
Sample Survey 7: Adult Program Survey
The XXXXXXXXX Public Library needs your help! In order to help us provide useful and entertaining programs, please give us your input by filling out the survey below. Please return the survey to the Library at the Circulation Desk or in the Book Drop by the front door by XXXXX, 2010. You can also mail your survey to the library at the following address:
ADDRESS
Many thanks for your participation—your input helps ensure that our programming meets your needs.
What kinds of programs would interest you (choose all that apply)?
Art talks/discussions
Author talks
Board games (Bingo, Checkers, Chess, Scrabble, Trivial Pursuit, etc.)
Book discussions
Card games (Bridge, Canasta, Cribbage, Poker, etc.)
Computer training (Internet access, e-mail, online databases, how to use a “mouse, Microsoft Office, etc.)
Cooking
Creative writing
Journaling
Crafts (sewing, knitting, quilting, needlework, woodcrafts, etc.)
Scrapbooking
Current events discussions and speakers
Films/discussions
Financial planning and investing
Gardening
Digital photography
Genealogy and Family History
Health education
Home decorating
Mental health
Multi-generational game nights
Multi-generational book groups
Musical performances
Poetry readings/workshops
Puzzles (crossword, jigsaw, Sudoku, etc.)
Retirement planning and living
Community Volunteer Opportunities Fair
Other programs and/or training that you would be interested in?
What time of the day is most convenient for you to attend programs?
9 am to 1 pm 1 pm to 5 pm 5 pm to 8 pm
Which do you prefer?
weekends weekdays
For weekdays, which day in particular?
Monday Tuesday Wednesday Thursday Friday
For weekends, which day in particular?
Saturday Sunday
Please check the response that best applies to you:
I have used the library in the past year.
I have not used the library in the past year.
Please check the response that best applies to you:
I have attended a library program in the last year.
I have not attended a library program in the last year.
Thank you!