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What is your gender?
 
Girl
 
Boy
 
 
 
What age group do you fall into?
 
9-10
 
11-12
 
13-14
 
 
 
What is your ethnicity?
 
American Indian or Alaskan Native
 
Asian
 
Pacific Islander
 
Black or African American
 
Hispanic or Latino
 
White / Caucasian
 
 
 
Do you read for fun?
 
Yes, often
 
Yes, sometimes
 
No
 
 
 
I am more likely to read a book for fun that:
 
a teacher suggests.
 
a librarian suggests.
 
is by an author whose books I have read.
 
my friend suggests.
 
has won an award.
 
I just happened to see or hear about.
 
 
 
What kind of material is your favorite thing to read?
 
Books
 
Magazines
 
Comics/graphic novels/manga
 
Newspapers
 
Audiobooks
 
Stuff on the Internet
 
 
 
What types of books do you like? (Select all that apply)
 
Novels/chapter books
 
Newspapers
 
Poetry books
 
Cartoons/comic books
 
Humorous books
 
Magazines
 
History books
 
Sports books
 
Fantasy books
 
Science books
 
Scary books
 
Poetry books
 
Picture books
 
Mystery books
 
Fiction books
 
Biographies
 
Non-fiction books

 
 
 
What kinds of people/things do you like to read about (pick as many as you like):
 
People/characters like me
 
People/characters who are very different from me
 
People/characters my age who have done some cool or amazing things
 
People/characters dealing with tough issues like crime, drug abuse, or poverty
 
Actors/movies/TV shows
 
Sports
 
Musicians/music
 
Animals
 
Detectives
 
Superheroes
 
Historical figures

 
 
 
Did someone in your family, or a friend, read to you when you were younger?
 
Yes, often
 
Yes, sometimes
 
Yes, but rarely
 
No
 
 
 
If yes, who was it that read to you?
   
 
 
 
What is your primary language?
   
 
 
 
What other languages do you speak or are spoken in your home?
   
 
 
 
What language do you prefer to read in?
   
 
 
 
What is your favorite book that you've read?
   
 
 
 
Who is your favorite author?
   
 
 
 
What is your favorite time to read for pleasure? (Select all that apply)
 
Never
 
During school
 
Lunchtime
 
In the evening
 
Whenever I can
 
In the morning before school
 
During the midmorning
 
After school
 
Before falling asleep

 
 
 
If you could talk to any person who is currently alive, who would it be?
   
 
 
 
What is one question that you would ask that person?
   
 
 
 
If you could talk to anyone from history, who would it be?
   
 
 
 
What is one question you would ask that person?
   
 
 
 
If you could meet any literary character, what character would you like to meet?
   
 
 
 
What is one question you would ask that character?
   
 
 
 
What do you like to do in your free time?
   
 
 
 
What types of TV programs do you like?
   
 
 
 
What is your favorite subject in school?
   
 
 
 
What are your hobbies?