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Speed Reading Survey

Dear Sir or Madam, please take a few minutes of your time to complete the following questionnaire.

Secured
1

What is the child's name (without surname)?

Please provide the child's first name only.
2

What is the child's age?

Please enter the child's age in years.
3

How many words per minute can the child read?

Please estimate the number of words the child can read in one minute.
4

What abilities do the parents have?

Please describe the abilities of the parents.
5

What is the parent's phone number?

Please provide a contact number for the parents.