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Are you the childs
 
Mummy
 
Daddy
 
Other
 
 
 
 
Is your child?
 
A little princess (Girl)
 
A little prince (Boy)
 
 
 
How many TV's are in your home?
 
1
 
2
 
3
 
4 or more
 
 
 
How oftten do you feel your child watches TV a day ?
 
never
 
Under an hour
 
1-2 hours
 
3-4 hours
 
5-6 hours
 
6 hours or more
 
 
 
What TV genres if any does your child tend to watch?
 
Children
 
Entertainment
 
Educational
 
Reality
 
Other
 
 
 
 
Does your child tend to watch TV alone?
 
Yes
 
No
 
 
 
If answer is yes to previous question please explain why