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* 1. I am in grade ___.

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* 2. I am a ___. 

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* 3. I attend _____ School.

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* 4. My race or ethnicity is ___. 

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* 5. I am a/an ___ reader.

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* 6. I am a/an ___ writer.

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* 7. Reading is something I like to do.

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* 8. I read for fun when I’m not at school.

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* 9. I talk about reading and/or writing with other people when I’m not in school.

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* 10. Reading aloud is something our teacher does during class.

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* 11. We choose our own books, magazines, and other things to read in class.

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* 12. In our class, we take turns reading out loud.

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* 13. In our class, we read with partners.

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* 14. In our class, we learn new words.

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* 15. We write about what we are reading or learning in class.

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* 16. I choose my own topics to write about in class.

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* 17. My teacher gives us reading for homework.

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* 18. My teacher has taught us how to take notes.

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* 19. My teacher has taught us how to organize information so we can use it later.

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* 20. My teacher lets us talk with each other about what we are reading.

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* 21. Reading is ___ for me.

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* 22. Being able to read well is ___. 

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* 23. When I come to a word I don’t know, I ___. 

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* 24. Which things do you like to write? Check all that apply.

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* 25. Which things are hard for you to read at school? Check all that apply.

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* 26. When you read on your own, why do you read? Check all that apply.

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* 27. Where do you get most of the books you read?

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* 28. How often do you go to the school library?

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* 29. What else would you like for us to know?

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