Who Are You and How Do You Feel About Reading?

Who Are You and How Do You Feel About Reading?

Who Are You

Directions: Please write your responses to the below questions in the line provided. Then, move on to the below survey. Note: I will not share your answers with anyone without your permission.

Name__________________________Name you like to be called___________________

Date of birth_________________________  Place of birth_________________________

Email address_____________________________________________________________

Home phone________________________ Cell phone____________________________

Parents’/guardians’ names__________________________________________________

Parents’/guardians’ email__________________________________________________

Parents’/guardians’ cell phone_______________________________________________

What language do you speak at home?________________________________________

How do you get to school? ______________________How long does it take_________

What do you do after school? _______________________________________________

What do you imagine yourself doing 10 years from now?__________________________

Do you like this subject? Why or why not? __________________________________________________________________________

__________________________________________________________________________

What would you really like to learn about in this class?___________________________

What’s a fair amount of homework time to expect you to give to this class?__________

Describe the way you learn things best________________________________________

Is there anything that could make this class especially hard for you?______________________________________________________________________

Can you think of a way I could help you with this struggle? __________________________________________________________________________

Is there anything else about you that you would like me to know? __________________________________________________________________________

__________________________________________________________________________

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How Do You Feel About Reading?   Directions: This survey tells me how you feel about reading and books. Please answer as honestly as you can by checking the term or terms, which tell me how you feel about each statement.	Strongly Agree	Agree	Disagree	Strongly Disagree
Library books are dull.
Reading is a waste of time.
Reading is one of my hobbies.
I believe I am a better reader than most other students in my grade.
Reading is almost always boring.
Sometimes I think kids younger than I am read better than I do.
I enjoy going to the library for books.
I don’t have enough time to read books.
I believe that I’m a poor reader.
I would like to belong to a book club.
Teachers want me to read too much.
You can’t learn much from reading.
Books can help you understand other people.
I almost always get As and Bs in reading and English.
I like to have time to read in class.
Reading gets boring after about ten minutes.
Sometimes I get Ds and Fs in reading and English.
I like to read before I go to bed.