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2013-2014 Beginning of the Year Survey
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Name
:
A red asterisk (*) indicates required questions.
Have you read The Hunger Games by Suzanne Collins?
*
Yes
No
Have you read Catching Fire by Suzanne Collins?
*
Yes
No
Have you read Mockingjay by Suzanne Collins?
*
Yes
No
Have you watched The Hunger Games movie?
*
Yes
No
How many books did you read last year? (If you don't know for sure, give an approximate number.)
*
Are you currently reading a book for pleasure?
*
Yes
No
Do you ever read a book for pleasure?
*
Yes
No
When I read for pleasure, I pick the following (Check all that apply):
*
Novels/chapter books
Newspapers
Poetry books
Cartoons/comic books
Humorous books
Magazines
History books
Sports books
Fantasy books
Science books
Scary books
Picture books
Mystery books
Fiction books
Biographies
Non-fiction books
Three favorite books that I would take on a month long trip are:
*
In the past month, I have read _____ book(s) for pleasure:
*
No books
1 book
2 books
3 books
More than 3 books
My favorite time to read for pleasure is:
*
Never
During school
Lunchtime
In the evening
Whenever I can
In the morning before school
During the midmorning
After school
Before falling asleep
The number of books I have at home:
*
None
0-9
10-19
20-29
30-50
More than 50
If I could meet any literary character (for example, Hermione from Harry Potter or the dog from Because of Winn Dixie), I want to meet:
*
The last three books that I have read are:
*
What is your favorite book?
*
What is your favorite food?
*
What is your favorite candy that you can buy in a store (ex. Milky Way, M&Ms, Sour Patch Kids, etc.)?
*
What is your favorite dessert?
*
What is your favorite song?
*
What is your favorite movie?
*
I enjoy writing.
*
Yes
No
Finish the following sentence:
I enjoy writing when...
*
Finish the following sentence:
It is hard for me to write when...
*
Finish the following sentence:
I work best in school when...
*
Finish the following sentence:
One (or more) things that Mrs. Voigt should know about me as a student is (are)...
*
I have a smart phone.
*
Yes
No
Mrs. Voigt
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North Fork Middle School
Quicksburg, VA
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