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Speed Reading Survey
Dear Sir or Madam, please take a few minutes of your time to complete the following questionnaire.
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1
Child's age
Please select the age range of the child
Under 5 years
5-10 years
11-15 years
16-18 years
Over 18 years
2
Child's name
Please enter the name of the child
3
Words per minute read by child
Please estimate the number of words the child reads per minute
4
Parent's name
Please enter the name of the parent filling out the survey
5
Relationship to child
Please select the relationship to the child
Parent
Guardian
Teacher
Other
6
Phone number
Please enter your phone number
7
Overall satisfaction with child's reading progress
Rate the satisfaction level with your child's reading progress
8
Favorite book of the child
Please enter the title of the child's favorite book
9
Frequency of reading together
How often do you read with your child?
Daily
Several times a week
Once a week
Less than once a week
Never
10
Suggestions for improving reading skills
Share any suggestions you have for improving your child's reading skills
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