Internet Safety Survey  

If you answered "often" or "sometimes," does an adult supervise you or know you're doing this?
1. I text message on a cell phone. often sometimes never   Yes No
2. I use email. often sometimes never   Yes No
3. I chat or use Instant Messaging (IM) on the internet. often sometimes never     Yes No
4. I play games online. often sometimes never   Yes No
5. I look at friends' or relatives' pages on MySpace or Facebook. often sometimes never     Yes No
           
6. I am a   girl   or  boy   in    .    
7. Other ways I use technology     

 

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