Name: Renan Jorge de Sousa Miranda

Reading Survey
Directions: Fill in the blanks.
1. What words pop into your mind when you think of reading a book? surprise, fun, discovery.

2. Do you read at home? Yes How often do you read at home? Every month.

3. Where’s your favorite place to read at home? My bedroom At school? The library.

4. How do you find books you love to read? I search for heartbreaking ones.

5. Besides books, what other types of materials do you read? Comics Why do you enjoy these? I
like to see the drawings.

6. Do you have a library card? No, I don’t.

How often do you visit the library to check out books? Not very often, I prefer to read on my
tablet.

Directions: Complete these sentences. (You may use a separate sheet of paper.)
7. My favorite author is Alice Oseman
8. The best book I’ve read is History is all you left me
9. The best book someone has read to me is O ratinho, o morango vermelho maduro e o grande
urso esfomeado
10. The topics I enjoy reading about are Romantic and sad books.
11. I watch TV for 0 hours a day because I don’t watch TV anymore.
12. I spend 2 hours a day playing video and electronic games.

13. I spend 4 hours a day on the computer.

14. The things I’m great at as a reader are my reading speed and my connection to the
characters.

15. The things I need to work on to improve my reading are my laziness and rush.

16. I use these strategies as I read: I don’t use any strategies.

17. I enjoy talking about books because I love talking about my interests.
 18. I enjoy discussing books with a partner or group because I like to hear their different
opinions on that book.

19. I enjoy responding to books in my journal because they are a part of my day-to-day.

20. I know how to choose books for enjoyment. This is what I do: I read the synopsis and search
for other people’s opinions.

Assessments for Differentiating Reading Instruction © 2009 by Laura Robb, Scholastic Professional ◆ Form
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