| Personal Reading List Questionnaire |
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Dear Reader,
By answering all of the following questions, you will provide us with the information we need to create a reading list of ten books just for you. Return this form to the Youth Services staff, and we will call you when your personal reading list is ready. |
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Name: |
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Address:
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Telephone
Number: |
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| Age: |
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Grade: |
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School: |
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I am a:
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boy___ girl___ |
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| 1. |
Circle the types of books you like to read: |
| Historical Fiction |
Time Travel |
Sports |
Adventure |
Scary |
| Science Fiction |
Supernatural |
Mystery |
Humor |
Fantasy |
| Family Stories |
Animal Stories |
School Stories |
Biographies |
Poetry |
| Realistic Fiction |
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Non-fiction (What subject area?): |
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Other type of book not mentioned: |
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| 2. |
What book or books did you read recently that you liked? |
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| 3. |
What book or books did you read recently that you did NOT like? |
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Why? |
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| 4. |
What are some of the best books you have ever read? |
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| 5. |
If you have a favorite author, who is it? If there is more than one, we'd like to know. |
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| 6. |
Put a check mark by the sentence that best describes your reading habits. |
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I spend a lot of time reading. |
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I read when I have spare time. |
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I do not often have much extra time for reading. |
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| 7. |
Is there anything else you can tell us about what you like to read? |
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| 8. |
Do you have a favorite animal? |
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What is it? |
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| 9. |
What are your hobbies or activities outside of school? |
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| Thank you! |
