Special Request Form
Dear Reader,

Even though we have thousands of books in the library, we know that sometimes it's difficult to choose a really good book from so many possibilities. So, we've come up with a program to help you. If you'll answer the following questions as completely as possible, we'll use your responses and create a reading list of about 10 books just for you!

We'll call you in about 2 weeks and you can come to the library and pick up your list.


Name:
Phone Number:
Age (third grade and up):
Grade Level:
Email Address:

Boy
Girl

What are your hobbies or activities after school?


Click next to the sentance that fits you best:
I read whenever I can. Reading is what I do for pleasure.
I read occasionally. There are other things I'd rather do for pleasure.
I never read for pleasure. I'd rather do anything else.

Click next to any of the following types of books that you like to read:
Stories about long ago
Scary Stories
Fantasy
Biography
Time Travel
Science Fiction
Family Stories
Poetry
Sports
Mysteries
Animal Stories
Non-Fiction
Adventure
Funny Stories
School Stories

If you like non-fiction, what subjects do you like to read about?


Do you like to read books in a series? Yes No

What are some of the best books you've ever read?


If you have a favorite author, who is it? Why do you like those books?


What book or books did you read most recently that you liked?


What book or books did you read most recently that you did not like?


Is there anything else you'd like to tell us about what you read?


Thank you for filling out our survey. We will look carefully at your comments and find some great books just for you!