Summer Reading Club 2005 "UnderCover Reader"
Survey Form

Note: Only use this web form if you have an email client installed on your computer (e.g. Outlook, Outlook Express, Thunderbird, GroupWise, etc.). Otherwise, please print off the PDF version of the form "SRC2005-Survey" and, after completion, mail it to:

Jacqueline van Dyk
3620 Triumph Street
Vancouver, B.C.
V5K 1V3
Name
Email
Library
Phone #

How many children registered for SRC at your library? (including Read-to-Me, Teen Clubs, etc.)
How many children completed SRC? (out of those registered)
How many SRC-related programs did you have in the library?
What was the total attendence of your SRC-related in-library programs?

Comments or feedback:


 Would your library be willing to volunteer to:
Produce a program for the src manual based on an assigned theme for two different age ranges
Create a booklist based on an assigned theme for two different age ranges

Create a quiz question with internet resources and multiple-choice answers for the online game
Monitor the kids' website for book reviews

Perform another yet-to-be-determined duty

Name/contact info for your library's volunteer(s):
Name(s)
Email
Phone #

Note: Only use this web form if you have an email client installed on your computer (e.g. Outlook, Outlook Express, Thunderbird, GroupWise, etc.). Otherwise, please print off the PDF version of the form "SRC2005-Survey" and, after completion, mail it to:

Jacqueline van Dyk
3620 Triumph Street
Vancouver, B.C.
V5K 1V3