New Jersey Statewide Summer Reading Club

Parent Feedback Form

Dear Parent:
We're so glad your child(ren) participated in our Reading Club this year. Would you take a moment to fill out this survey so that we may make it even better next year? Please fill out a Feedback Form for each child who participated. Thank You.

For each question, choose a number from 1 to 5 that most closely reflects your opinion, where
1 is "agree strongly" and 5 is "disagree strongly." If you neither agree nor disagree, circle 3.

2003 Reading Club - Parent Feedback

Your Name:

Email Address:

Childrens Ages:
(If more then one child, separate each age with a comma)

Number of Girls:

Number of Boys:

	1	2	3	4	5
The reading club theme encouraged my child to join:

The graphics on the reading club materials (logos, bookmarks, posters) encouraged my child to participate:

The reading incentives encouraged my child to read:

The programs offered met our needs:

The reading club was appropriate for my child:

My child looked forward to going to the library:

My child read more this summer than I expected:

Any additional comments?

. . . . . . . .