YALSA Sample Teen Programs & Services Needs & Interests Survey

We’re gathering information to learn how we can serve you better. Please take a minute to help us help you.

What school doyou attend?What library do you most often visit?

How often do you use the library? (check one)

[ ]Every day [ ]Every week [ ]Every month [ ]Once or twice a year

[ ]Never

What are some of your hobbies or interests?

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What school subject(s) could you use the most help with? Please be specific

[ ]English/Language Arts______

[ ]Foreign Language ______

[ ]Health______

[ ]History/Social Studies______

[ ]Math ______

[ ]Science ______

[ ]Other ______

What time(s) of the day are the best for you to attend a program at the library?

[ ]before school [ ]right after school [ ]in the evening [ ]weekend mornings

[ ]weekend afternoons [ ]weekend evenings

What day(s) of the week is the best time for you to attend a program at the library?

[ ]Sunday [ ]Monday [ ]Tuesday [ ]Wednesday [ ]Thursday

[ ]Friday [ ]Saturday

How important is it that food isprovided at a program or event?

[ ]Very Important [ ]Important [ ]Somewhat Important [ ]Not at all important

What technology(ies)would be most helpful for the library to provide?

[ ]Desktop computers [ ]Laptop [ ]Tablets [ ]Gaming consoles

[ ]eReaders [ ]Video equipment

[ ]Other______

How important is a designated study area (quiet area) in the library?

[ ]Very Important [ ]Important [ ]Somewhat Important [ ]Not at all important

What ONE thing could the library do to improve its servicesfor you?

[ ]create a more welcoming & comfortable space / [ ]hold more events that interest me & meet my needs / [ ]stay open in the evenings and on weekends
[ ]provide more resources via the library web site / [ ]offer more opportunities for me to volunteer or get involved / [ ]get the word out about what’s going on, so I can plan ahead
[ ] Other:

Would you be willing to help plan and carry out a program at the library? If so, tell us what kinds of programs you would be willing to help with, and please provide your name and the best way to contact you:

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OPTIONAL: May we contact you to gather more information?If so, what is your name and the best way to reach you? Your personal information is private. It will be available only to appropriate library staff in support of library service.

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IF YOU’D LIKE, PLEASE USE THE BACK OF THIS PAGE TO TELL US MORE ABOUT YOUR NEEDS, INTERESTS, AND IDEAS!