From “But There’s Nothing Good to Read (In the Library Media Center)” by Denice Hildebrandt, Media Spectrum: The Journal for Library Media Specialists in Michigan, Fall 2001, p. 34-37.
1. Do you like to read?
2. How much time do you spend reading?
3. What are some of the books you have read lately?
4. Do you have a library card? How often do you use it?
5. Do you ever get books from the school library?
6. About how many books do you own?
7. What are some books you would like to own?
8. Put a check mark next to the kind of reading you like best.
(topics you might like to read about)
[ ] history [ ] travel [ ] plays
[ ] sports [ ] adventure [ ] science fiction
[ ] romance [ ] war stories [ ] detective stories
[ ] poetry [ ] car stories [ ] novels
[ ] biography [ ] supernatural stories
[ ] astrology [ ] humour [ ] folktales
[ ]mysteries [ ] art  westerns
[ ] how-to-do-it books
9. Do you like to read the newspaper?
10. If ‘yes’, place a check next to the part of the newspaper listed below you like to read.
[ ] Advertisements [ ] Entertainment [ ] Columnists
[ ] Headlines [ ] Comic strips [ ] Political stories
[ ] Current events [ ] Sports [ ] Editorials
[ ] Others: (please list)
11. What are your favorite television programs?
12. How much time do you spend watching television?
13. What is your favourite magazine?
14. Do you have a hobby? If so, what is it?
15. What are the two best movies you have ever seen?
16. Who are your favourite entertainers and/or movie stars?
17. When you were little, did you enjoy having someone to read to you?
18. List topics, subjects, etc., which you might like to read about:
19. What does the word ‘reading’ mean to you?
20. Say anything else that you would like to say about reading: