High School Student Reading Survey Form
A polished survey form for high school students to share reading habits, preferences, and reflections.
Student Information
Grade Level
*
9th Grade
10th Grade
11th Grade
12th Grade
Other
Age Range
*
Please Select
13-14
15-16
17-18
19+
Prefer not to say
Preferred Name
Reading Habits and Preferences
Reading frequency
*
Daily
Several times a week
Once a week
A few times a month
Rarely
Never
Typical reading format
*
Print
E-book
Audiobook
Mixed
Favorite reading genres
*
Fiction
Non-fiction
Mystery/Thriller
Fantasy
Science Fiction
Romance
Historical
Biography/Autobiography
Poetry
Graphic Novels/Comics
Other
Time spent reading per week
*
Less than 1 hour
1–3 hours
4–6 hours
7–10 hours
More than 10 hours
Survey Questions and Reflection
Reading Statements
*
Rows
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
I enjoy reading for school.
1
2
3
4
5
I feel confident understanding what I read.
6
7
8
9
10
Reading assignments are easy for me to complete.
11
12
13
14
15
I feel motivated to read on my own.
16
17
18
19
20
Overall Reading Interest
*
1
2
3
4
5
Favorite recent book or text and suggestions for improving reading time in class
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