Scientific Library Audit Form

1. Your Name:  *
2. Building:  *
3. Program: Select Program DMS LEIDOS NCI WISCO  *
4. Have you used the Library before? YesNo
5. If yes, please check all services that you have used:
6. None of the listed services?
   Did you borrow Library materials?
   Did you request photocopies of articles?
   Did you use the web site and/or the online journals?
   Did you request materials/articles thru Interlibrary Loan?
   Did you have a Loansome Doc Code?
   Did you request Current Awareness Alerts?
   Did you have a Core Patent Password?
   Did you attend a training class in the Library?
7. If no, why? (please check all that apply)
8. I did not know that Library services were available to me.
   I did not require Library support due to the nature of my job.
   I was able to provide for my own information needs.
   I did not feel the Library could meet my requirements and found help elsewhere.
9. Are you permanently leaving or transferring? LeavingTransfer
10. If you are transferring, what is your new:
11. Building #:
12. Phone Number:
13. Supervisor's Name:
14. Center Number:
15. Program: None DMS NCI NIH SAIC WISCO

1. Phone Number:  *
2. Supervisor's Name:  *
3. Date of Termination or Transfer:  *
4. If your new institution does not have a library, will that impact you? YesNo
5. If so, please tell us how?
6. How did having access to the services of the Library affect your job?
8. What will you miss about the Scientific Library?
10. Comments:

Thank you for completing this form.

If you want to print out a copy of this form for your records press "Print" button

Submit or return to the Scientific Library, Building # 549 prior to your last day of employment.