Child Facebook Usage and Safety Template

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* 1. Have your parents said it is okay for you to use the internet?

Yes

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* 2. Do your parents know your passwords for all your email accounts?

Yes

Not sure

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* 3. When you're on social networking websites (like Facebook or Myspace), about how much of your time do you spend posting things about yourself?

All of it

Most of it

About half of it

Some of it

None of it

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* 4. When you're on social networking websites (like Facebook or Myspace), about how much of your time do you spend looking at what your friends have posted?

All of it

Most of it

About half of it

Some of it

None of it

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* 5. 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

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* 6. 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)

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* 7. How often are you bullied on the internet?

Extremely often

Quite often

Moderately often

Slightly often

Not at all often

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* 8. About how many of your "friends" on Myspace have you met in person?

All of them

Most of them

About half of them

A few of them

None of them

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* 9. How comfortable are you with your friends viewing your Myspace page?

Extremely comfortable

Very comfortable

Moderately comfortable

Slightly comfortable

Not at all comfortable