Name__________________________________Date____________________
Address________________________________Phone___________________
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Resource on which you are commenting:
Title:__________________________________________________________
Author/Publisher or Producer/Date:___________________________________
1. What brought this resource to your attention?
2. To what do you object? Please be specific.
3. Have you read or listened or viewed the entire content? If not,
what parts?
4. What do you feel the effect of the material might be?
5. For what age group would you recommend this material?
6. In its place, what material of equal or better quality would
you recommend?
7. What do you want the library to do with this material?
8. Additional comments: