JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
HEALTH for Youths' Reading Program - Book Summaries
Sign in to Google
to save your progress.
Learn more
* Indicates required question
What is the number of the book you read?
Each book has been designated a number. Please input that number.
Your answer
What is your name?
Your answer
If you are under 18 do you have permission from a parent/guardian to fill out this form?
Yes
No
Clear selection
How old are you?
Your answer
What is the title of the book you read?
*
Your answer
Your answer
What is your email?
Your answer
Please describe the book. Did you enjoy reading it? What were your favorite parts?
*
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report
