You can always press Enter⏎ to continue
Child/Youth Survey (3rd-Teen) 2021
Please take a moment to complete this survey so we can better serve you and our South Sound children and families.
8
Questions
START
1
How old are you?
(optional)
Previous
Next
Submit
Press
Enter
2
Do you have enough books to read at home?
*
This field is required.
YES
NO
Previous
Next
Submit
Press
Enter
3
How often do you receive a free book from SSRF?
*
This field is required.
Once/week
Twice/week
Once/month
Fewer than once/month
Previous
Next
Submit
Press
Enter
4
Do you read more when you get books from SSRF?
*
This field is required.
YES
NO
Previous
Next
Submit
Press
Enter
5
What other programs from SSRF would you like to participate in?
*
This field is required.
(select all that apply)
Book club
Summer reading map
Group reading outside
Book giveaway
Storytime
Other
Previous
Next
Submit
Press
Enter
6
Why is reading important to you?
*
This field is required.
Huge
Large
Normal
Small
Ok
quote
Created with Sketch.
Ok
Previous
Next
Submit
Press
Enter
7
Parents/Caregivers: Enter your NAME for a chance to win a $25 Barnes and Noble Gift Card! (optional)
Information will be used for gift card drawing only. Personal information will not be kept or shared.
First Name
Last Name
Previous
Next
Submit
Press
Enter
8
Parents/Caregivers: Enter your EMAIL for a chance to win a $25 Barnes and Noble Gift Card! (optional)
Information will be used for gift card drawing only. Personal information will not be kept or shared.
example@example.com
Previous
Next
Submit
Press
Enter
Should be Empty:
Question Label
1
of
8
See All
Go Back
Submit