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Application for Homebound Service & Reader's Profile

2. First Name*
3. Last Name*
5. Address*
7. City*
8. Phone Number*
10. Email
14. Reader's Profile
    Please indicate your reading preferences. The more detail you give the better our selections for you will be!
16. Would you like the Library to select items for you based on your preferences?*

    1. Yes, please make selections for me based on my preferences. I understand that I may ALSO reserve specific items online or over the phone.
    2. No, I only want delivered items that I have chosen myself and reserved online or over the phone.
18. How many books you would like delivered every TWO weeks (between 0 and 10)*
19. How many audiobooks you would like delivered every TWO weeks (between 0 and 3)*
20. How many movies (DVDs) you would like delivered every ONE week (between 0 and 5)*
22. What materials do you want delivered to you?

    Select all that apply.

    1. Regular Print Books
    2. Large Print Books
    3. Paperbacks
    4. Hardcover Books
    5. Audiobooks (CD)
    6. Movies (DVD)
23. Please indicate your genre preferences.

    Select all that apply.

    1. Literary Fiction
    2. Mystery
    3. Fantasy
    4. Science Fiction
    5. Historical Fiction
    6. Paranormal
    7. Romance
    8. Thrillers
    9. Action/Adventure
    10. Horror

    1. Inspirational/Religious
    2. Urban
    3. Romantic Suspense
    4. Western
    5. Women's Fiction
    6. Biographies
    7. True Crime
    8. Self-Help
    9. Cookbooks
    10. Other Nonfiction
25. Other Preferences

    Select all that apply.

    1. Happy/Light/Uplifting
    2. Dark/Ironic
    3. Funny
    4. Serious
    5. Sad
    6. Safe/Relaxing
    7. Suspenseful/Tense
    8. One Plot Line
    9. Multiple Plot Lines
    10. Resolved Ending
    11. Leaves You Thinking

    1. Focus on Characters
    2. Focus on Action and Events
    3. Just a Few Characters
    4. Clever Dialogue/Wordplay
    5. Humourous Situations/Events
    6. Slapstick/Physical Humor
    7. Dark Humor/Irony
    8. Absurd, Bizarre, or Surreal Humor
    9. Series
    10. Standalone (not part of a series)
26. Pet Peeves

    Select any themes that you do NOT want to read about and/or watch.

    1. Sexual Themes
    2. Explicit Sexual Content
    3. Rough/Obscene Language
    4. War
    5. Violence
    6. Death

    1. Disease
    2. Religion
    3. Addiction
    4. Crime Portrayed Sympathetically
    5. Dark or Cynical Humor
    6. Magic/Paranormal
28. Indicate any settings about which you would particularly like to read (country, state, time period, etc.)
30. Please list some of your favorite books, movies and/or authors and what you enjoy about them.
32. Please list some books, movies, or authors that you have NOT enjoyed.
34. Is there anything else we should take into account for our suggestions?
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36. 1. Receive an email copy of this form.
37. Email address

    This field is not part of the form submission.

38. Submit

* indicates a required field