Assessment Name Student Reading Engagement Survey

Purpose What is the main question you want

to answer with the data?
What is the level of student engagement
during independent and instructional
reading?
Use How and when will you use this
assessment?
I will administer this survey to my students
during the first day of school to gauge the
students feelings towards reading so I can
adjust my lessons and classroom
environment accordingly.
I would also administer the assessment at
the mid and end points of the school year to
see progression, growth, and any recurring
concerns.
* This survey can be adjusted based on the contextual factors of the students and/or classroom

Student Reading Engagement Survey

Name: ____________________________
Date: _____________________
Age: ______________________



DIRECTIONS:
Read each question carefully. For each item, check
the option that best represents you. Please be as honest as possible.


1. How many books have you read for fun in the last month?
(__) 0-1 (__) 2-3 (__) 4-5 (__) 6 or more


2. How many magazines and/or newspapers have you read in the last month?
(__) 0-1 (__) 2-3 (__) 4-5 (__) 6 or more


3. How many articles (informational and/or fictional) have you read on the internet in the last
month?
(__) 0-1 (__) 2-3 (__) 4-5 (__) 6 or more


4. How many times have you visited a library (at school and/or in the community) in the last
month?
(__) 0-1 (__) 2-3 (__) 4-5 (__) 6 or more


5. How many times have you used an e-reader (Nook, Kindle, Kobo, Ipad, etc..) to read a book,
magazine and/or newspaper in the last month?
(__) 0-1 (__) 2-3 (__) 4-5 (__) 6 or more


DIRECTIONS:
Read each statement carefully. Check your opinion on each statement that best described
how you feel. Please be as honest as possible.


6. I enjoy to read
(__) Strongly Agree
(__) Agree
(__) Disagree
(__) Strongly Disagree


7. I like listening to stories being read aloud to me
(__) Strongly Agree
(__) Agree
(__) Disagree
(__) Strongly Disagree


8. Reading is boring
(__) Strongly Agree
(__) Agree
(__) Disagree
(__) Strongly Disagree


9. I have difficulty reading
(__) Strongly Agree
(__) Agree
(__) Disagree
(__) Strongly Disagree



10. I like reading about true things
(__) Strongly Agree
(__) Agree
(__) Disagree
(__) Strongly Disagree


11. I like reading about made-up things
(__) Strongly Agree
(__) Agree
(__) Disagree
(__) Strongly Disagree


12. I like to read when I can look at pictures of the story
(__) Strongly Agree
(__) Agree
(__) Disagree
(__) Strongly Disagree



DIRECTIONS:
Please read each heading carefully. Write the answers in the blanks provided. Please be as
honest as possible. If you cannot answer a question, please leave it blank.


13. My top three favorite books are:
1._____________________
2. _____________________
3. _____________________


14. My top three favorite authors are:
1.______________________
2.______________________
3.______________________


15. My top three favorite genres of books are:
1.______________________
2.______________________
3.______________________