Computer Use Survey

Please do NOT put your names on this survey. 

1. Sex: Male   or   Female
 
2. Age:______

3.   Is there a computer in your home?  Yes   or   No

4.   Are you able to go on the Internet in your home?  Yes   or   No

5. How often in a week do you use a computer? 
(circle your choice)     Zero     1-5     6-10     11-15    16-20    21+

6.   Where do you use a computer? (circle all that apply):
				Home
				School
				Library
				Friends’ homes
				Job

7. Other than the Internet, do you use your computer for: (circle all that apply):
Schoolwork
Creative Writing
Art
Games
Programming

The next series of questions asks about your usage of the Internet.  If you never use the 
Internet, please skip to the next section of questions.

1. How many times in a typical week do you look at the World Wide Web?
 (circle your choice)     Zero     1-5     6-10     11-15    16-20    21+
 
2. How many times in a typical week do you send email?
 (circle your choice)     Zero     1-5     6-10     11-15    16-20    21+
 
3. How many hours in a typical week do you spend in “chat groups” or “rooms”?
 (circle your choice)     Zero     1-5     6-10     11-15    16-20    21+
 
4. What types of activities do you use the Internet for? (circle all that apply)
Talking to Friends
Fun and Games
Homework
Shopping
Job