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Name: ____________________ Age: ______

Address: __________________

Sex: Male Female

Directions: Carefully read the questions and put a check on the box that corresponds to your answer.

1.) How often do you read a body of text or selection?

Sometimes Always Never

2.) What do you usually look for upon reading a selection?

Important Information Main Idea Others: Please Specify _____________

3.) As a student, how well do you perform at school?

Average Above Average Below Average

4.) What reading style do you usually use?

Skimming Scanning Thorough Reading

5.) What type of selection do you usually prefer to read?

Fiction Non- Fiction

6.) What length of selection do you usually prefer to read?

Short Medium Long

7.) How well do you understand a selection upon reading it?

I understand it very well. I don't understand some of the concepts.

I don't understand anything at all.

8.) Have you ever encountered textual aids (bold, italicized, highlighted, or underlined words;
illustrations and concept maps; emphasis on important information) upon reading a selection?

Yes No

9.) Which form of textual aid do you prefer most?

Bold, italicized, highlighted, or underlined words Illustrations Concept Maps

10.) Does the overall presentation or look of a selection affect your interest in reading it?
Sometimes Always Never

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