| Name |
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Telephone |
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| Email Address |
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Today's Date |
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DEMOGRAPHIC INFORMATION
(Include
any information you want us to factor into recommendations.) |
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Sex
Male
Female |
Age
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Race or Ethnicity:
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PREFERRED MODE OF CONTACT (choose
one) |
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GENRES AND FORMATS
For each of the following, mark the button that indicates
your interests.
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READING HISTORY
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| Please list
at least 3 of your favorite books and/or authors, and what you
enjoy about them
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| Please list
up to 3 books or authors who you have read and have not enjoyed.
If you would like, explain why.
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| What is the
last book you read that you really liked? Why did you like it?
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| TONE,
STYLE, MOOD, AND LANGUAGE
Mark your preference on the following scales, grading
from 1 to 7 on each preference. If a scale doesn't matter to you,
just leave it blank.
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| Happy,
Light, Uplifting |
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Dark,
Ironic |
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1 |
2 |
3 |
4 |
5 |
6 |
7 |
| Easy |
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Demanding |
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1 |
2 |
3 |
4 |
5 |
6 |
7 |
| Funny |
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Serious |
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1 |
2 |
3 |
4 |
5 |
6 |
7 |
| Safe, Relaxing |
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Suspenseful,
Tense |
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1 |
2 |
3 |
4 |
5 |
6 |
7 |
| One Plot
Line |
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Many
plot lines |
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1 |
2 |
3 |
4 |
5 |
6 |
7 |
| Resolved
Ending |
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Leaves
You Thinking |
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1 |
2 |
3 |
4 |
5 |
6 |
7 |
| Straightforward
Language |
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Lush,
Poetic Language |
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1 |
2 |
3 |
4 |
5 |
6 |
7 |
| Sentimental,
Emotional Style |
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Stark,
Realistic Style |
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1 |
2 |
3 |
4 |
5 |
6 |
7 |
| Old-Fashioned,
Traditional |
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Modern,
Contemporary |
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1 |
2 |
3 |
4 |
5 |
6 |
7 |
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How
do you like books to be focused? Mark how important each emphasis
is to you as a reader.
What
sort of humor do you prefer? Mark
how important each type of humor is to you as a reader.
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CHARACTERS
Mark your preference for characteristics of the
main characters about which you would especially like to read. Leaving
items unchecked does not preclude them, but indicates no preference
for or against.
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| AGE |
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| GENDER |
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ETHNICITY/NATIONALITY |
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RELATIONSHIP
STATUS |
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OCCUPATIONAL
FIELDS OR AREAS OF INTEREST |
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SETTING
Check any setting about which you would particularly like
to read. Describe or specify the setting further if you like. Leaving
items unchecked does not preclude them, but indicates no preference
for or against.
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DEMOGRAPHY |
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PEEVES AND PLEASURES
Content of a certain nature is annoying or upsetting to
some readers, while others enjoy these same elements. For each item
that follows, indicate whether we should avoid, include, or ignore
(not consider) that element in making suggestions.
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CONTENT
For each of the following subjects, check "interested"
if you want a recommendation that includes the subject, check "avoid"
if you do not want to read about the subject. You may leave items
blank to indicate no preference.
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| Anything else we should
factor into our suggestions? |
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