Book Survey
Name
First Name
Last Name
Birth Date
-
Month
-
Day
Year
Date
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
1) What is your favorite book?
2) What are some of the most recent books you've read?
3) In a year, how many books do you buy?
Less than 2
Between 2 - 6
Between 7 - 10
More than 10
4) Where do you usually get your books?
Online Book Store
Book Stores
Book Fairs
Type option 4
Other
5) What kind of books do you like to read?
Action/Thrillers
Romance
Mystery/Drama
Science Fiction
Educational
Biography
Religious
Other
6) When did you begin reading a book?
Less than 4 years old
4-6 years old
6-10 years old
10 years old or more
7) What is your preferred reading medium?
Printed Books
E- Books
Magazines
Newspaper
Website
Other
8) What do you think about e-books?
9) How likely are you to recommend reading more books to your family and friends based on your overall experience?
Never
1
2
3
4
Always
5
1 is Never, 5 is Always
10) Additional Comments
Submit
Should be Empty: