Powerful Libraries Make Powerful Learners Presenter's Survey

Your Name:

Your Email Address:

Library System:

Alliance
DuPage
Metropolitan
North Suburban

Lewis & Clark
Lincoln Trail
Prairie Area
Rolling Prairie
Shawnee

Team Members:

Date of Presentation:

Presentation Number:

1 2 3

Other:

Organization Name:

Location of Presentation:

City:

Number of People in Attendance:

General Audience Reaction:

unsupportive
indifferent (reaction not discernible)
somewhat supportive
very supportive

Other Audience Reactions:

Presenter's Comments:

Are Additional Presentation Supplies Needed?

Yes
No

Additional Supplies/Quantity:

Qty:

Name and Address to where supplies should be sent:

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