Boys & Girls Club Internet Safety & Cyberbullying

Gender

Male

Female

Grade

How often do you go online?

Daily

Weekly

Monthly

How much time do you spend online each day?

Don't have regular access

Less than 1 hour

1-5 hours

More than 5 hours

How many Facebook accounts do you own?

How do you have access to the Internet?

Do your parents/guardians have rules about internet/computer use?

Yes, my parents have time limits

Yes, my parents restrict which apps I use, download, and how much data I use

Yes they have time limits and they say where I can and can’t go on the internet

No

How many twitter/Instagram/Facebook followers do have?

Which of the following statements do you agree with about the Internet (Select all that apply)?

I love it and use it all the time

I use it mostly for schoolwork

I use it for fun (Netflix, games, etc.)

I use it for news

I use it to talk to friends

I use it more often than I should sometimes

I could do without it

Which of the following products and services do you regularly use (i.e. on a daily or weekly basis)? Check all that apply.