Name: _____________________________________ Date ________________________

What are your best school subjects?


What do you do for recreation or entertainment?


What are your favorite TV programs?

If someone handed you a newspaper, what sections would you be most interested in reading? (Circle)

front page news  comics  Youth Plus Section
product advertisements employment ads Weekend Section--movie, music reviews
sports editorials  

Does your family take a daily newspaper?

If so, which one?

Does your family subscribe to any magazines?

If so, which ones?

What magazines do you enjoy reading?


What is the best book you have ever read?


On a scale of 1-10 how would you rate your interest in reading? (circle)

hate to read = 1-------2---------3--------4-------5-------6--------7---------8--------9--------10 = love to read

What type of books would you select to read? Circle as many as you like.

mystery historical animals
science supernatural teen problems
biography science fiction adventure
music related--rock stars romance movie-based books
humor information books on current interest