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1. Please provide the following: (Required.)

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2. What JCCS school/site do you attend? (Required.)

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3. Please rate your response to the following statements: (Required.)

  Strongly Disagree Disagree Neutral Agree Strongly Agree
I feel prepared for the High School Proficiency Exam.
I feel prepared for the reading section of the MAP Test.
I have a positive attitude toward books.
I enjoy reading books on a regular basis.
I can usually comprehend the content in the books I read.
I am able to analyze books.
I can express my opinion about issues addressed in books.
I use age-appropriate vocabulary.
Books have helped broaden my views in my community, nationally, and internationally.
I see books as an opportunity to broaden my exposure to the community.
I have been exposed to diverse literature content.

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4. On a scale of 1 to 5 (1 being poor and 5 being excellent) how would you rate your reading level? (Required.)

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5. On a scale of 1 to 5 (1 being poor and 5 being excellent) how would you rate your writing skills?

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6. On average, how many books have you read for pleasure? (Required.)

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7. Do you have books to read at home? If yes, approximately how many books do you own? (Required.)

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8. Is there a library center in your classroom? (Required.)

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9. If yes, how often do you use the library center? (Required.)

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10. How many books does your classroom have available to read for pleasure? (Required.)

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11. What are your current educational goals (e.g., college/ university/trade/ vocational school)? (Required.)

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12. Do you have any additional comments?

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