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* 1. What was the title of the Reading Well Books for young people book that you borrowed?

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* 2. Was this book recommended to you by anyone? If so, who?

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* 3. Would you recommend this book to a friend? If so please tick all that apply:

I would recommend this book because it can provide...

  Yes No Not sure
Useful information and advice
Support in dealing with difficult feelings and experience
Advice for coping with pressures that could affect mental health and wellbeing
Help to boost confidence

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* 4. Did you become a member of the library in order to borrow this Reading Well on Prescription book or were you already a member?

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* 5. Did you visit the Reading Hack website or ask about opportunities for young people in the library after borrowing the Reading Well for young people book?

 
About you

We are asking for some personal details about you.  This information is optional but will help us understand more about who is reading the books recommended by Reading Well for young people.  The information you provide will be kept confidential and will only be retained until our analysis has been completed.

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* 6. How old are you?

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* 7. Are you:

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* 8. Which of the following best describes you?

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* 9. Tell us the name of the library authority where you borrowed the book:

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* 10. To enter into a prize draw to win a £50 shopping voucher please provide your email address below.  The prize will be drawn on twice a year and you will be notified if you win.  You will be entered into the first draw after we receive your feedback form.  The information you provide will be kept confidential and destroyed once the winner has been selected and accepted the prize. We will not use your details for anything else unless you give us permission to do.

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* 11. Are you happy to be contacted with updates and information about Reading Well?

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