Child General Internet Usage and Safety Template
1.
Have your parents said it is okay for you to use the internet?
Yes
No
2.
How often do your parents let you use the internet by yourself, without an adult in the same room with you?
Always
Most of the time
About half the time
Once in a while
Never
3.
Where do you most often use the internet?
At home, in my own bedroom
At home, in a bedroom I share with someone else
At home, in a room that other family members can use
At school
At a friend's house
Some other place (please specify)
4.
How much do your parents know about what you do on the internet?
A great deal
A lot
A moderate amount
A little
None at all
5.
How often are you bullied on the internet?
Extremely often
Quite often
Moderately often
Slightly often
Not at all often
Current Progress,
0 of 5 answered