Forbidden.
Banned
1. Age group
( ) 8 – 11 (* ) 12 – 16 ( ) 17+
2. How many televisions are you are made accessible in your home?
( *) one or less ( ) 2 ( ) 3 ( ) 4 or more
3. Do you have access to an internet connection at home?
(* ) yes ( ) no ( ) not sure
4. Do you use a form of instant messenger program? E.g. MSN, Yahoo, AIM, AOL etc.
( *) yes – please specify MSN ( ) no
5. Do you own your own email account?
( *) yes ( ) no
6. How many hours a day on average do you spend connect on the internet?
( ) <1 ( *) 2 – 3 ( ) 4 – 6 ( ) 7+ - [ _____hours]
7. How many hours a day on average do you spend watching television?
() <1 ( *) 2 – 3 ( ) 4 – 6 ( ) 7+ - [ _____hours]
8. How many hours a day on average do you spend on Messenger?
( ) <1 (* ) 2 – 3 ( ) 4 – 6 ( ) 7+ - [ _____hours]
9. Are you given time restraints on your internet/television usage?
( ) yes (* ) no
10. Do you own/use your own mobile phone?
( *) yes ( ) no
11. How often do you use your mobile phone?
( ) rarely (* ) sometimes ( ) most of the time ( ) always
12. How much do you spend a month on average on our mobile phone?
( *) < $10 - $20 ( ) $20 - $30 ( ) $30 - $40 ( ) $50+
13. Do you prefer to make a phone call or text message?
( ) voice call ( *) text message
14. Are you involved in a social group outside of school hours?
e.g. sporting, church group, hobby group, volunteer work etc.
( ) yes (* ) no
15. How often are you involved with these social activities?
( ) irregularly ( ) sometimes ( ) often ( ) regularly
16. If taken away, how long would you be able to last without your mobile phone?
( ) 1 – 3 days ( ) one week (* ) one month + ( ) cannot live without it
17. How long would you be able to last without access to Messenger/ Internet
( ) 1 – 3 days ( ) one week (* ) one month + ( ) cannot live without it
18. How would you rate the importance of communication technology (e.g. mobile, internet etc.) in your life?
( ) not important (* ) reasonably important ( ) very important ( ) a necessity
( ) 8 – 11 (* ) 12 – 16 ( ) 17+
2. How many televisions are you are made accessible in your home?
( *) one or less ( ) 2 ( ) 3 ( ) 4 or more
3. Do you have access to an internet connection at home?
(* ) yes ( ) no ( ) not sure
4. Do you use a form of instant messenger program? E.g. MSN, Yahoo, AIM, AOL etc.
( *) yes – please specify MSN ( ) no
5. Do you own your own email account?
( *) yes ( ) no
6. How many hours a day on average do you spend connect on the internet?
( ) <1 ( *) 2 – 3 ( ) 4 – 6 ( ) 7+ - [ _____hours]
7. How many hours a day on average do you spend watching television?
() <1 ( *) 2 – 3 ( ) 4 – 6 ( ) 7+ - [ _____hours]
8. How many hours a day on average do you spend on Messenger?
( ) <1 (* ) 2 – 3 ( ) 4 – 6 ( ) 7+ - [ _____hours]
9. Are you given time restraints on your internet/television usage?
( ) yes (* ) no
10. Do you own/use your own mobile phone?
( *) yes ( ) no
11. How often do you use your mobile phone?
( ) rarely (* ) sometimes ( ) most of the time ( ) always
12. How much do you spend a month on average on our mobile phone?
( *) < $10 - $20 ( ) $20 - $30 ( ) $30 - $40 ( ) $50+
13. Do you prefer to make a phone call or text message?
( ) voice call ( *) text message
14. Are you involved in a social group outside of school hours?
e.g. sporting, church group, hobby group, volunteer work etc.
( ) yes (* ) no
15. How often are you involved with these social activities?
( ) irregularly ( ) sometimes ( ) often ( ) regularly
16. If taken away, how long would you be able to last without your mobile phone?
( ) 1 – 3 days ( ) one week (* ) one month + ( ) cannot live without it
17. How long would you be able to last without access to Messenger/ Internet
( ) 1 – 3 days ( ) one week (* ) one month + ( ) cannot live without it
18. How would you rate the importance of communication technology (e.g. mobile, internet etc.) in your life?
( ) not important (* ) reasonably important ( ) very important ( ) a necessity
