Patron Comment on Library Materials

Title

Author/Creator/Performer

Publisher (if known)

Publication Date (if known)

Type of material

Book

DVD

Music

Book on CD

E-Book

Audiobook

Database

Other...

Please state your compliment or objection of the material as specifically as possible

Did you read, view, or listen to the entire work?

Yes

No

Date

Name

Address

Phone number

Library Card Number

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Email

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