ST. JOSEPH PUBLIC LIBRARY
PATRON COMMENT ON LIBRARY MATERIALS
Title_______________________________________________________________________
Author______________________________________ Publisher _____________________
Form of the material (e.g., book, pamphlet, videocassette, compact disc, etc.)
___________________________________________________________________________
Please state your comment, suggestion or criticism of the material as specifically as possible ___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Did you read, see, listen or otherwise use the material in its entirety _______________
If not, then which parts ______________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Are you aware of the judgment of this material by qualified critics ________________
If yes, please identify source __________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Additional comments ________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Date ____________ Signature_________________________________________________
Address ___________________________________________________________________
Telephone number ___________________
The library appreciates your interest. Your comments will be referred to the director, who will respond in accordance with the policies adopted by the Board of Trustees.
………………………………………………………………………………………………………………………………………..
FOR STAFF USE ONLY
Staff member receiving comment ______________________________________________
Service Area _____________________________________ Date _____________________
01/03
