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Questionnaire template

Library Membership Registration

Registers new library members and captures their reading interests, visit habits, service satisfaction and program interest.

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Education · Academic. All Education templates

Questions in this template

Your Details

  1. Welcome, and thank you for joining the library. This short form sets up your membership and helps us suggest books and activities that suit you.

  2. Full name

    Open answer

  3. Email address

    Open answer

  4. Date of birth

    Open answer

  5. Gender

    Choose one:

    • Female
    • Male
    • Another gender
    • Prefer not to say

  6. How should we get in touch with you?

    Choose one:

    • Email
    • Phone
    • Postal mail

  7. Phone number

    Asked only when q_contact_channel.outcome == 2

    Open answer

  8. Postal address

    Asked only when q_contact_channel.outcome == 3

    Open answer

Reading Interests

  1. Which kinds of books interest you?

    Choose any that apply:

    • Fiction
    • Non-fiction
    • Mystery
    • Romance
    • Science fiction
    • Fantasy
    • Biography
    • Self-help
    • Other

  2. Which other kinds of books interest you?

    Asked only when q_genres.outcome is not None and q_genres.outcome & 256 != 0

    Open answer

  3. How often do you visit a library?

    Choose one from a list:

    • Daily
    • Weekly
    • Monthly
    • Rarely
    • Not yet / never

  4. In which formats do you like to read?

    Choose any that apply:

    • Print books
    • E-books
    • Audiobooks

Your Library Experience

  1. How satisfied are you with each of these aspects of the library?

    Asked only when q_visit_frequency.outcome is None or q_visit_frequency.outcome != 5

    • Availability of books
    • Helpfulness of staff
    • Cleanliness
    • Quietness
    • Availability of study space

    For each row: choose one:

    • Very dissatisfied
    • Dissatisfied
    • Neutral
    • Satisfied
    • Very satisfied

  2. What could the library do better for you?

    Open answer

Programs and Online Services

  1. Would you like to take part in any of these activities?

    • Book clubs
    • Talks by authors
    • Story sessions for children
    • Technology workshops
    • Community events

    For each row: choose one:

    • Yes
    • Not sure
    • No

  2. Do you use any of the library's online services?

    Choose one:

    • Yes
    • No

  3. Which online services do you use?

    Asked only when q_online_services_use.outcome == 1

    Open answer