Literacy and Culture

Library Card Number............. ______________________

Library PIN________   Library City and State____________

Total overdue fines in the past 10 years.... $__________.

Any books currently overdue?  cYes  cNo  If yes, how many? ______

How many hours per week do you watch television? _____________

How many hours watching professional sports? .................

Do you have cable TV? cYes cNo       Satellite dish? cYes  cNo

To what newspapers do you subscribe?_____________________

Which section do you read first?__________________________