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* 1. Please enter your name:

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* 2. Please enter your reading group's name:

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* 4. Please enter the title of your recommended book:

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* 5. Please describe in a few sentences how the book made you feel:

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* 6. What was the best moment of the book?

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* 7. In what way was it the best moment?

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* 8. Would you recommend this book to someone who felt unhappy, stressed or depressed as a mood-boosting read?

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* 9. Please include any other comments on your recommended book here:

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* 10. Have you read any other books in the past that have lifted your mood/made you feel better which you would like to recommend? Please list up to three books (e.g. novels, non-fiction, short stories or poetry):

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* 11. Do you give The Reading Agency permission to take quotes from this questionnaire and use them on promotional material e.g. on a leaflet?

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* 12. If you answered yes, would you be happy for The Reading Agency to use the following alongside the quote (please tick whichever applies):

Thank you very much for completing the questionnaire.

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