JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Reading Interest Survey
Please thoughtfully answer all of the questions on this survey. When finished press the "submit" button at the bottom.
from Donalyn Miller's THE BOOK WHISPERER
based on the Interest-A-Lyzer by Joseph S. Renzulli
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Name
*
Your answer
Age
*
Your answer
When I read for pleasure, I pick the following
*
(Check 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
Picture books
Mystery books
Fiction books
Biographies
Non-fiction books
Required
I am more likely to read a book for pleasure that:
*
(Check all that apply)
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 (hear about)
Required
Three favorite books that I would take on a month-long trip are:
*
(List 3 book titles!)
Your answer
In the past week, I have read for at least half an hour (30 minutes):
*
No days
1-2 days
3-4 days
6-7 days
In the past month, I have read ____ book(s) for pleasure:
No books
1 book
2 books
3 books
More than 3 books
Clear selection
My favorite time to read for pleasure is:
*
Never
During school
Lunchtime
In the evening
Whenever I can
In the morning before school
During the midmorning
After school
Before falling asleep
Other:
Required
When I read I like to:
*
Read one book
read more than one book at a time
I like to receive books as presents
*
Yes
No
I borrow books from the public library:
*
once a week
twice a week
a couple times a month
every few months
a few times a year
hardly ever
never
I borrow books from the school library:
*
once a week
twice a week
a couple times a month
every few months
a few times a year
hardly ever
never
The number of books I have at home:
*
None
0-9
10-19
20-29
30-50
More than 50
If I could meet any literary character (for example, Hermione from Harry Potter or the dog from Because of Winn-Dixie, I want to meet:
*
Your answer
The last three books that I have read are:
*
(List three!)
Your answer
I would like to read a book about:
*
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
Forms
This form was created inside of DeForest Area School District.
Report Abuse
Terms of Service
Privacy Policy
Help and feedback
Contact form owner
Help Forms improve
Report