The MST Literacy Survey Form
 
 

What grade are you in?         ____________________
How many books have you read in the past year?   ____________________

How many hours a week do you spend reading?   ____________________

Do you have computer access at home?        Yes / No
 
Do you have computer access at school?         Yes / No
 
Do you have Internet access at home?     Yes / No

Do you have Internet access at school?     Yes / No

How many hours a week do you spend on the computer?  ____________________

How many hours a week do you spend on the Internet?  ____________________

What do you use the Internet for?
1) __________________
2) __________________
3) __________________

What do you use computers for?
1) __________________
2) __________________
3) __________________

Do you have a homepage?       Yes / No

If yes, homepage URL:       ____________________

If you were doing a research project, where would you get your information from?

      1st place you look: _____________________
      2nd place you look: ____________________
      3rd place you look: _____________________
      Other:   ______________________________

Do you find reading material from a computer screen
different than reading from a book?       Yes / No

If yes, to what degree?
 
   1) very subtle difference, 2) a little different, 3) quite different, 4) fundamentally different

Which do you prefer: reading a book OR reading off of a computer screen?      Book / Computer
 

You are free to copy and use this survey if you wish.