132 South Street, Plymouth, MA 02360              

USER AND NON-USER SURVEY:
LIBRARY SERVICES FOR PEOPLE WITH DISABILITIES

Please tell us your zip code:
  

1. If you use the library, when did you use it last?
  

2. In what way(s) does your disability make it difficult to use the library? Check all that apply.
   transportation to library
   parking at library
   physical access to and within building
   hours open
   communication with staff
   inability to find or reach library materials
   inability to use library materials
   difficulty using the computers
   other (please specify)
  

3. Which library services do you use or would you like to use? Check all that apply.
   information and referral
   check out materials
   read newspapers and magazines
   children's services
   Internet and database searching
   programs and events
   other (please specify)
  

4. What could the library provide to assist you in using the library's materials and services?
   books by mail
   extended loan periods
   reference services by fax or TTY
   alternative formats of materials or different technology (please specify)
  

5. Have you requested these materials/services in the past? If so, were they provided to you?
    If not, what reason was given?
   Yes        No
    Reason:
  

6. Have you ever used a computer or other equipment at the library?
   Yes        No

7. Did you already know how to use it?
   Yes        No

8. Were you given instructions or help?
   Yes        No

9. What could we do to make the computer workstations easier for you to use?
  

10. Do you have access to a computer at home or at work?
     Yes        No
      If so, is it:
     Macintosh      IBM compatible

11. If you have a computer at home or at work, what adaptive equipment or software do you use?
    

12. What service agencies besides the library do you use for information and referral?
    

13. How do you find out about programs and services at the library?
    

14. How can the library best communicate with you in the future?
    

15. What is your disability?
    

16. Please mark your age range:
      6-12 yrs.      13-22 yrs.      23-65 yrs.      66 and older

17. Are you currently in school? If so, at what level?
      Elementary school      High school      Community college
                   University                  Post-graduate degree

18. If you have completed your education, please specify the extent of your schooling.
      Elementary school      High school      GED
      Community college    University         Post-graduate degree

19. Are you currently employed?
      Yes      No

20. Other comments:
     

21. If you would like to be contacted by the Library's Outreach Librarian, please leave your name,
      daytime telephone number and/or e-mail address.