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Do you enjoy reading?
 
Yes
 
No
 
 
 
How many hours a week do you read?
 
Less then 1 hour
 
2-5 hours
 
6-10 hours
 
10+ hours
 
 
 
When reading, are you easily distracted?
 
Yes
 
No
 
 
 
Do you feel that you receive the proper amount of help with your reading?
 
Yes
 
No
 
 
 
How many words per minute to you read?
 
Less then 50 words
 
50 - 100 words
 
100 - 180 words
 
180+ words
 
 
 
Where do you read (Select all that apply)?
 
School
 
In your room
 
On the bus
 
At the park
 
In the family room
 
At the library
 
In the bathroom

 
 
 
Do you feel that your Intensive Reading Class is helping you?
 
Yes
 
No
 
N/A
 
 
 
When did reading become difficult for you?
 
3rd grade or earlier
 
6th grade
 
9th grade
 
N/A
 
 
 
What do you like to read (Select all that apply)?
 
Novels
 
Short Stories
 
Poems
 
Plays
 
Graphic Novels
 
Magazines
 
Newspaper
 
Fiction
 
Non Fiction

 
 
 
If you were given the chance to improve your reading level would to except it?
 
Yes
 
No