1.  Do you have a hobby?  ___________    What?  _____________________________________

2.  Do you have a pet(s) ? ______________  What kind(s)? ______________________________

3.  What is your favorite book that someone has read to you? _______________________________

4.  What kinds of books do you like to read or have read to you?   (check all that apply)

 _____ real animals  _____ picture books
 _____ real children  _____ information books
 _____ science fiction  _____ mysteries
 _____ funny stories  _____ fairy tales
 _____ sports stories  _____ poetry
 _____ true stories  _____ historical fiction
 _____ fantasy animals  _____ science books
 _____ family stories  _____ adventures

5.  What is your favorite book that you have read by yourself? ___________________________

6.  What sports do you like? _______________________________________________________

7.  Who are your favorite sports stars? ______________________________________________

8.  What do you do when you get home from school? __________________________________

9.  What do you like to do on the weekends? _________________________________________

10.  Do you like to collect things? _____________  What? ______________________________

11.  What are your favorite subjects in school? ________________________________________

12.  Would you rather read a book by yourself or have someone read it to you? ______________

13.  Name a book you have read this week: __________________________________________

14.  Where would you like to go on vacation? ________________________________________

15.  Do you watch television? _____________________________________________________

16.  What kinds of television programs do you like to watch?  (check all that apply)

 _____ comedies  _____ cartoons
 _____ sports   _____ westerns
 _____ animal programs  _____ music
 _____ family stories  _____ game shows
 _____ educational TV  _____ mysteries
 _____ true stories  _____ detective stories
 _____ specials   _____ science fiction
 _____ news   _____ other

17.  What is your favorite TV show? ________________________________________________

18.  What are three topics or things you would like to know more about?

 1.  _______________________________________________

 2.  _______________________________________________

 3.  _______________________________________________

19.  What is your favorite movie? __________________________________________________

20.  What are your three favorite foods?

 1.  ________________________________________

 2.  ________________________________________

 3.  ________________________________________