REGION 2 LIBRARY

Each tape will have a questionnaire evaluation attached, which members are asked to fill out and return with the tapes within 2 weeks. Please submit request to:
Jacquelyn Hunter
14305 Brookmere Drive
Centreville, VA 22020
703/803-8701
Fax 702/222-5971
e-mail: j.hunter@ieee.org







EVALUATION SHEET
Name of Videotape checked out: ___________________
Videotape Rating: circle one
1----2----3----4----5----6----7----8----9----10
Poor --------------OK-----------------------Excellent


Was the videotape checked out for personal viewing only or was it shown to a
group?__________________________________________________________
If shown to a group, please identify group:______________________________
Approximate number of viewers:_____________________________________
Comments on Videotape:___________________________________________


_________________________________________________________________
Suggestions for other videotaped topics :________________________________
Borrower's Name:___________________________________________________
Address__________________________________________________________
City, State, Zip_____________________________________________________
Work or Home Phone:_______________________________Date ___________

If you have any questions, please call J. Hunter and/or leave a message 703/803-8701. Your cooperation in completing and returning this form helps us to serve you better. Please mail the form back with the tape within two weeks to: IEEE/NCAC, c/o Jackie Hunter, 14305 Brookmere Drive, Centreville, VA 22020. Thanks!