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Statistics Form

* Required

*Month

*Branch Location

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Days Open:

Hours Open:

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Patron Count:

Pickup Window Patron Count:

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*Reference Questions - Phone:

*Reference Questions - In Person:

*Reference Questions - email:

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Public Faxes Sent:

Public Fax $ Collected:

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Filter Override Requests:

Filter Overridden:

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PUBLIC SPACE UTILIZATION

Storytime/Craft Room Use:

Auditorium Use:

Conference 1 Use:

Conference 2 Use:

Study Room Use:

Public Meeting Room Use:

Tech Lab Use:

TOPAZ Magnifier Usage (SRL):

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LPL SPACE UTILIZATION

Storytime/Craft Room Use:

Auditorium Use:

Conference 1 Use:

Conference 2 Use:

Public Meeting Room Use:

Tech Lab Use:

TOPAZ Magnifier Usage (SRL):

Visual Assistance PC Use:

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If you have any comments about these stats, please place them here.


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PROCTOR STATS
Number of Students:
Number of Tests Administered:
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Email1:
Email2:
(Such as yourself or supervisor)