Paperwork Burden Statement
According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless such collection displays a valid OMB control number. The valid OMB control number for this information collection is XXXX-XXXX (expires XXXX). The time required to complete this information collection is estimated to average 3 minutes per response, including the time to review instructions, search existing data resources, gather the data needed, and complete and review the information collection. If you have any comments concerning the accuracy of the time estimate(s) or suggestions for improving this form, please write to: U.S. Department of Education, Washington, D.C. 20202-4700. If you have comments or concerns regarding the status of your individual submission of this form, write directly to: Dean Gerdeman, U.S. Department of Education, 555 New Jersey Avenue, N.W., Room 506D, Washington D.C. 20208.
Student Interest Survey
Please tell us what you like to read.
Choose up to 6 subjects below by checking the box next to it. Circle your very favorite subject.
ADVENTURE
My favorite adventure book series is ___________________________________
ANIMAL INFORMATION (dinosaurs, mammals, insects…)
My favorite animals to learn about are _________________________________
ANIMAL STORIES (dinosaurs, mammals, insects…)
My favorite animal character is _______________________________________
ART (crafts, fashion, photography…)
My favorite kind of art is ____________________________________________
BIOGRAPHIES
My favorite famous people are _______________________________________
FAIRY TALES, MYTHS & FOLKTALES
My favorite myth or folktale is _______________________________________
FAMILY & CHILDHOOD
FANTASY (wizards, outer space, princesses…)
My favorite fantasy topic is __________________________________________
GRAPHIC NOVELS & COMICS (super-heroes, true stories)
HISTORY
My favorite times and places in history are _____________________________
HUMOR & GAMES
MUSIC, TV, MOVIES & MORE
My favorite music and shows are _____________________________________
MYSTERY
My favorite mystery book series is ____________________________________
NATURE INFORMATION (earth science, the environment)
NATURE STORIES (earth science, the environment)
ROMANCE
SCIENCE & TECHNOLOGY
SOCIAL ISSUES (politics, law)
SPORTS INFORMATION
My favorite sports and athletes to learn about are _________________________
SPORTS STORIES
My favorite sports to read stories about are _____________________________
Return this page to your teacher, along with your signed Parental Consent Form.
Thank you!
Responses to this data collection will be used only for statistical purposes. The reports prepared for this study will summarize findings across the sample and will not associate responses with a specific district or individual. We will not provide information that identifies you or your district to anyone outside the study team, except as required by law.
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| File Title | SUMMER READING PROGRAM STUDY |
| Author | slux |
| File Modified | 0000-00-00 |
| File Created | 2021-02-04 |