Student Name: ___________________________ Date: ________________
Title: ___________________________________________________________________
Author: _______________________________________ Publisher: __________________
Date you started book _______________ Date you finished book _________________

1. Why did you choose this book? ____________________________________________ ___________________________________________________________________ ___________________________________________________________________
   
   
2. Did the book hold your interest? ________ Why? _____________________ ____________________________________________________________________ ____________________________________________________________________
   
   
3. Are you interested in learning more about this subject? ______________ Why? ______________________________________________________________ ______________________________________________________________
   
   
4. List ten interesting facts you learned from this book.
   1) _________________________________________________________________
   2) _________________________________________________________________
   3) _________________________________________________________________
   4) _________________________________________________________________
   5) _________________________________________________________________
   6) _________________________________________________________________
   7)__________________________________________________________________
   8)__________________________________________________________________
   9) _________________________________________________________________
   10) ________________________________________________________________
   
   
   
5. New words extend your enjoyment of reading. Choose three words from the book that you would like to add to your vocabulary and write the definitions for them.
   1) _________________________________________________________________
   2) _________________________________________________________________
   3) _________________________________________________________________
   
   

Staple your pencil first copy (lined paper) to the back of this ink form.