Patron Feedback Form
Name
First Name
Last Name
Email
example@example.com
Library Card Number
Name of book
Have you read the book?
Yes
Not interested in reading book
If you read the book, how many stars would you give it?
1
2
3
4
5
Please give a brief explanation why you liked/did not like the book. If you are not interested in reading the book tell us why. Please be as specific as possible.
Any other feedback?
Submit
Should be Empty: