PROGRAM SURVEY

Programming Survey

* Indicates required field

Please note the times are estimates.

Monday *

Afternoon (2pm-3pm) Evening (4pm-6pm) Doesn't work for me

Tuesday *

Morning (10am-12pm) Afternoon (1pm-3pm) Doesn't work for me

Wednesday *

Morning (10am-12pm) Afternoon (1pm-3pm) Evening (4pm-6pm) Doesn't work for me

Thursday *

Morning (10am-12pm) Afternoon (1pm-3pm) Evening (4pm-6pm) Doesn't work for me

Friday *

Morning (10am-12pm) Doesn't work for me

Saturday *

Morning (10am-12pm) Afternoon (1pm-2pm) Doesn't work for me

Please describe or list the topics you are interested in. *

Style of program *

Workshop/Hands-on Presentation/Lecture Social Gathering Other

If "Other" please specify *

What is your age? *

Less than 13 13-18 19-25 26-35 36-50 Over 50 Prefer not to say

We are only asking to better gauge who the audience is for the event/topic being mentioned.

Name *

First

Last

Optional

Email *

Optional

Submit

Mon.: 2-7pm
Tues.: 9am-6pm
Wed.: 9am-6pm
Thurs.: 9am-6pm
Fri.: 9am-1pm
Sat.: 9am-1pm

22 Dalton Rd
Brentwood NH
603-642-3355
info@brentwoodlibrarynh.org

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