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Age:
   
 
 
 
Gender
 
Male
 
Female
 
 
 
How many times in the past year have you done the following:

Played a PC based video game?
 
Never
 
Seldom
 
Sometimes
 
Frequently
 
Often
 
 
 
Played a console video game system (e.g., Playstation 2, Game Cube, X-Box, etc…)?
 
Never
 
Seldom
 
Sometimes
 
Frequently
 
Often
 
 
 
Played a video game in an arcade?
 
Never
 
Seldom
 
Sometimes
 
Frequently
 
Often
 
 
 
Played an online java-script video game (e.g., www.popcap.com)
 
Never
 
Seldom
 
Sometimes
 
Frequently
 
Often
 
 
 
Do you consider yourself to be an active video game player?
 
yes
 
no
 
 
 
During an average week, how many hours will you spend playing video games ?
 
< 1 hour
 
1-3 hours
 
3-5 hours
 
5-7 hours
 
7-9 hours
 
> 9hours
 
 
 
If you play videogames, at what age did you first begin playing?
   
 
 
 
Please select the video game consoles that you currently own.
(Check all that apply)
 
 
PlayStation
 
PlayStation 2
 
PlayStation 3
 
PlayStation Portable
 
GameCube
 
Nintendo Wii
 
GameBoy Advance/SP/Micro
 
Nintendo DS
 
Xbox
 
Xbox 360

 
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