Please answer all six questions and when you're done, place this in the accompanying envelope. This is an anonymous survey, so please don't put your name anywhere on this paper.

1. What's your age?
   
   __ 8-10   __ 11-13  __ 14-16  __ 17-19
   
   
2. Are you:
   
   __ male  __ female
   
   
3. How many hours do you spend online per week?
   
   __ less than 1 hour  __ 1-2 hours  __ 3-5 hours
   __ 6-8 hours  __ 9-10 hours  __ more than 10
   
   
4. What do you do on the Internet? Rank each of these activities on a scale from 1-5, with 5 being the activity you do the most frequently. Select as many as you like. You can have more than one item with the same ranking.
   
   1 2 3 4 5  Email
   1 2 3 4 5  Chat rooms
   1 2 3 4 5  ICQ
   1 2 3 4 5  Newsgroups
   1 2 3 4 5  Visiting Web sites for homework
   1 2 3 4 5  Visiting Web sites for fun
   1 2 3 4 5  Gaming rooms
   1 2 3 4 5  Download games
   1 2 3 4 5  Download music
   1 2 3 4 5  Download software
   1 2 3 4 5  Other (please specify) ________________________
   
   
5. Where do you like to go on the Internet?  List your 5 favorite places to visit when you go online.
   
   1.
   2.
   3.
   4.
   5.
   
   
6. What do you like about these sites? (give as much detail as you want and use the other side of this paper if you need more room)