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Sample Questionnaire

Below is a sample questionnaire similar to one that can be tailored to and attached below your submission for feedback. The questionnaire is divided into two parts:

ADMINISTRATIVE DATA- is used to identify and reply to individuals who visit this site and provide feedback to our members. In general, this data is only of use to The Reader's Perspective. If the visitor has a web site, we would like to check it out. Because you may wish to as well, that portion of administrative data will be provided to you.
 
QUESTIONNAIRE- is where you get feedback from readers as they respond to questions specific to your work.

Direct Feedback Questionnaire

  Please answer the following questions by filling in the field as completely and honestly as possible. Then click on Send to send in you feedback. Thank you in advance for you participation.

* Questions apply to fragments only.

ADMINISTRATIVE DATA
(Check boxes for yes, blanks default to no.)

What's your name? 

What's your email address? 

Do you have a home page? 

What is the title of your home page: 

How did you find out about The Reader's Perspective?

Would you like to be added to our mailing list to find out about upcoming events and new submissions? 

Would you be interested in interacting with the author of this submission in order to discuss what you have read?

QUESTIONNAIRE
(Check boxes for yes, blanks default to no.)

1. Were you ever bored? 

2. Did you find your mind wandering?  If yes, where in the story or fragment was this happening?

3. What did you think of the following character(s) (like?/hate?/Want to know more about?):
 

4. Was there anything that you didn't understand? What?

5. Is there anything that you had to read twice?  If yes, where in the story or fragment was this happening?

6. Is there any place where you became confused?

7. Was there anything you didn't believe?

8. If anything, what are you still wondering about?

9. Did you ever find yourself amused or laugh?  If yes, where in the story or fragment was this happening?

*10. Are you curious to know what will happen next?

*11. What do you think will happen next?

12. What sticks out in your mind most about what you have read?

13. Any other comments?



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