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1. 
* Age:
 
13
 
14
 
15
 
16
 
 
2. 
* Grade
 
9
 
10
 
 
3. 
* Will you take physical education next year?
 
Yes
 
No
 
 
4. 
* Do you participate in any extracurricular school or club sports teams or competitions?
 
Yes
 
No
 
 
5. 
If Yes, what types of sports are you involved in? Circle all that apply.
 
Badminton
 
Baseball
 
Basketball
 
Biking
 
Cross Country
 
Running
 
Diving
 
Gymnastics
 
Hockey
 
Rowing
 
Skating
 
Soccer
 
Skiing
 
Swimming
 
Tennis
 
Track
 
Field Events
 
Volleyball
 
Other
 

 
 
6. 
What physical activity do you do inside of school just for fun? Choose all that apply.
 
Badminton
 
Baseball
 
Basketball
 
Biking
 
Cross Country
 
Dance
 
Diving
 
Fitness Classes
 
Gymnastics
 
Hiking
 
Hockey
 
Martial Arts
 
Rollerblading
 
Running
 
Sailing
 
Skateboarding
 
Skating
 
Soccer
 
Ultimate Frisbee
 
Volleyball
 
Other
 

 
 
7. 
How many times a week do you participate in physical activity?
 
0 times/week
 
1-2 times/week
 
3-4 times/week
 
5 or more times/week
 
 
8. 
Rank which types of reading you like the most. (1 = favourite 2= second favourite)
magazines
non-fiction novels
fiction novels
poetry
short stories
newspaper
other
 
 
9. 
Circle the number of novels you have read since September. Include the novels you have read for school.
0 1-2 3-4 5-6 7-8 9 or more
 
 
10. 
Rank where or from whom you get most of your books. (1= most often)
classroom books
school library
public library
bookstore
friends
parents
other
 
 
11. 
Stronly Like Like Neutral Dislike Stronly Dislike
Romance
Sport
Adventure
Mystery
Horror
Fantasy
Science Fiction
Historical
Other
 
 
 
Name one ficton novel you've read in the last two years that you just can't forget.
   
 
 
13. 
Do you prefer to read fiction novels with a girl or a boy as the main character?
Girl Boy No Preference
 
 
 
Describe the type of person you like to read about in fiction novels. ((personality, things she/he likes and doesn't like to do, vlaues, and appearance)
   
 
 
15. 
Can you remember reading any fiction novels about a girl who participated in sport?
 
Yes
 
No
 
 
 
If YES, what was the title of the novel?
   
 
 
 
One things I liked about this books was...
   
 
 
 
One thing I did not like about this book was...
   
 
 
19. 
If NO, would you like to read a fiction novel about a girl doing sports?
 
Yes
 
No
 
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