| Name |
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Telephone Number |
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| Email Address |
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Library Card Number |
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Are you
you a
resident of West Caldwell?
Yes
No |
Do you have a West Caldwell library card?
Yes
No |
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Demographic Information
(Please
feel free to include the following information if you think it will
aid us in our efforts to recommend appropriate titles for you)
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Gender
Male
Female |
Age
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Fiction Reading Interest
Please
indicate your fiction reading habits by circling the answer that
corresponds to your reading interests
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Is
there a specific time period you prefer books to be set in? Please
indicate your time period preference below. If you have no
preference, please leave blank.
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Is
there a specific location you prefer novels to take place? Please
indicate preferences by checking the corresponding boxes below. If
you have no preference, please leave blank.
United States (specify
state, region, and/or cities)
World (specify region,
countries and/or cities)
Futuristic Places
Fantasy Lands
Historical Settings
(please specify historical places)
Cities/Metropolitan
Areas
Small Towns
Farms/Ranches/Rural
Areas
Wild/Exotic Locations
Suburbs
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Non-Fiction Reading Interest
Please
indicate your non-fiction reading habits by circling the answer that
corresponds to your reading interests.
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Writing Style and Tone Preferences
Please
check your preferences as they relates to writing tone and style. If
you don’t have a preference, please leave blank.
Easy/Light Reading
Demanding
Funny/Humorous
Dark/Ironic
Happy/Uplifting
Serious
Safe/Relaxing
Suspenseful/Tense
Typical of its genre
type
Unusual
One Plot
Line
Various Plot Lines
Resolved Ending
Unresolved Ending
Straightforward
Language
Poetic Language
Sentimental/Emotional
Realistic/Stark
Old
Fashioned/Traditional
Contemporary
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If you enjoy
humorous reads, please indicate the type of humor you enjoy. Check
all that apply.
Clever
Dialogue
Humorous
situations
Quirky/Unusual
Characters
Slapstick
Dark/Sarcastic/Ironic
Humor
Absurd/Surreal
Humor
|
Character Preferences
Do you prefer story
lines with multiple characters or few characters? Please check the
corresponding box. If you have no preference, please leave blank.
Multiple
Few
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What type of character traits do you prefer in the main and
supporting characters. Check all that apply. If you have no
preferences, please leave blank.
Self-Assured
Characters
Conflicted Characters
Age
Teens/Young Adults
Adults,
20-30
Adults, 30-50
Adults, 50-60
Adults over 60
Gender
Male
Female
Ethnicity/Nationality
African-American
Latino-American
Asian-American
White
Native American
European, please
specify
Country/culture, please
specify
African,
please specify country/culture
Asian, please specify
country/culture
Relationship and Social Status
Single
Married/Committed
Friendship Oriented
Professional/Workplace
oriented
Troubled
Relationships
Divorced/Widowed
Parenting/Family Life
Wealthy
Working Class
Poverty/Disadvantage
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Please list at least
5 of your favorite books and what characteristics you enjoyed
about those books.
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What
books have you read lately and enjoyed and why?
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What
books have you read lately and not enjoyed and why?
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Please
list your favorite authors and why you enjoy reading books by
those authors?
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If you object to any
of the following characteristics/themes please check the
corresponding box:
Sex/Sexual Themes
Explicit Sexual Content
Disease
Death
Anti-Religion
Pro-Religion
Conservative Politics
Liberal
Politics
Violence
Strong
Language
Other
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Do you have a page limit preference? If so, please indicate a
maximum number of pages for book suggestions. If you do not
have a preference, please leave blank. (This number can be
amended in the future).
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Please feel free to include any additional information you think
will aid us in meeting your reading needs.
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Thank you for participating in this
program and we look forward to servicing your reading needs. Please
allow up to 3 weeks for your requests to be processed and reading
suggestions to be compiled. Your personalized list will be sent to
the mailing or e-mail address supplied in your contact information.
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This survey is based in part on the
“One Reader for Every Book, One Book for Every Reader” program
developed by the Williamsburg Regional Library.
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