The Library

1. 1. A teen or adult, age 13 or older
   2. A parent of a child, age 12 or under

1. Name
2. Parent's Name
3. Child's Age
4. Your Age
   1. 13
   2. 14
   3. 15
   4. 16
   5. 17
   6. 18+
5. How may we contact you?
   1. Email
   2. Phone (voice only)
6. Email
7. Phone
8. Have you used Your Next Read before?
   1. Yes
   2. No

1. Are you looking for adult or teen books?

   (Check all that apply)

   Adult Teen
2. Please Do NOT Select Anything Below Select One General Interest Local History
3. What are your preferred formats?

   (Check all that apply)

   1. Book
   2. Large print
   3. E-book
   4. Audiobook on CD
   5. Digital audiobook
4. What genres are you interested in?

   (Check all that apply)

   1. Fiction
   2. Nonfiction
5. Fiction

   (Check all that apply)

   1. Classics
   2. Comics/Graphic Novels
   3. Fantasy
   4. Historical Fiction
   5. Horror
   6. Inspirational/Christian Fiction
   7. LGBTQ
   8. Literary Fiction
   9. Mystery
   10. Romance
   11. Science Fiction
   12. Thriller/Suspense
   13. Western
   14. Women's Lives
6. Nonfiction

   (Check all that apply)

   1. Adventure
   2. Animals/Pets
   3. Biography/Memoir
   4. History/Social Sciences
   5. Humor
   6. Science/Natural History
   7. Travel Narratives
   8. True Crime
7. What is your child interested in?

   (Check all that apply)

   1. Humor
   2. Realistic
   3. Animal Stories
   4. Mystery
   5. Scary Stories
   6. History
   7. Fantasy
   8. Science Fiction
   9. Graphic Novels
   10. Nonfiction About
   11. Other (Describe)

Your answers to the following questions will help us compile a a more personalized reading list.

1. Tell us what you like to read.

   This might include favorite authors, favorite books, or what you're in the mood for right now.

2. Tell us what you don't like to read.

   This might include content you find objectionable, or authors you've tried and disliked.

3. Anything else you'd like to tell us about your interests?
4. What has your child read recently that he enjoyed? Any topics your child is interested in?
5. Anything your child doesn't want to read about or doesn't like?
6. Anything else you'd like us to know about your child?