Teen Survey
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1. Teen Survey!
Hi! Please take a few minutes to fill out this survey for us. The Library wants to know more about how and why teens read during the summer. Your answers are anonymous and confidential so be totally honest.
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1
. Are you a Male or Female?
Are you a Male or Female?
Female
Male
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2
. What school will you attend in the fall?
What school will you attend in the fall?
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3
. What grade will you be in?
What grade will you be in?
7th
8th
9th
10th
11th
12th
Other (please specify)
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4
. Do you like to read just for fun during the summer?
Do you like to read just for fun during the summer?
Yes, a lot.
Sometimes.
Never.
5
. If you answered “yes, a lot” or “sometimes” to Question 4, please tell us what you like to read for fun? Check all the right answers below.
1
Magazines
If you answered “yes, a lot” or “sometimes” to Question 4, please tell us what you like to read for fun? Check all the right answers below. Magazines 1
Books
Books 1
Manga
Manga 1
Graphic novels
Graphic novels 1
Comics
Comics 1
Newspapers
Newspapers 1
Internet sites
Internet sites 1
Other (please specify)
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6
. What Internet sites do you like?
What Internet sites do you like?
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7
. How often do you read just for fun during the summer?
How often do you read just for fun during the summer?
Every day
At least once a week, but not every day
At least once a month, but not every week
Never
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8
. Is there anything else you would like to tell us about your reading?
Is there anything else you would like to tell us about your reading?
9
. If you win a prize, we’ll have to contact you! So please leave your contact information and again this information is confidential.
If you win a prize, we’ll have to contact you! So please leave your contact information and again this information is confidential.
Name:
City/Town:
State:
-- select state --
AL Alabama
AK Alaska
AS American Samoa
AZ Arizona
AR Arkansas
CA California
CO Colorado
CT Connecticut
DE Delaware
DC District of Columbia
FM Federated States of Micronesia
FL Florida
GA Georgia
GU Guam
HI Hawaii
ID Idaho
IL Illinois
IN Indiana
IA Iowa
KS Kansas
KY Kentucky
LA Louisiana
ME Maine
MH Marshall Islands
MD Maryland
MA Massachusetts
MI Michigan
MN Minnesota
MS Mississippi
MO Missouri
MT Montana
NE Nebraska
NV Nevada
NH New Hampshire
NJ New Jersey
NM New Mexico
NY New York
NC North Carolina
ND North Dakota
MP Northern Mariana Islands
OH Ohio
OK Oklahoma
OR Oregon
PW Palau
PA Pennsylvania
PR Puerto Rico
RI Rhode Island
SC South Carolina
SD South Dakota
TN Tennessee
TX Texas
UT Utah
VT Vermont
VI Virgin Islands
VA Virginia
WA Washington
WV West Virginia
WI Wisconsin
WY Wyoming
Email Address:
Phone Number:
10
. May I contact you for another survey?
May I contact you for another survey?
Yes
No
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