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What grade are you in? 4th 5th 6th Do you have a computer at home? Yes No In what ways do you use the internet (outside of school)? Check all that apply. How many places do you go on the internet where you have signed up and use a user name and password? 0 1 2 3 4 5 or more Do your parents or guardians have access to your user names and passwords? Yes No Have you ever talked to someone you don't know while on the computer? Yes No Have you ever lied about anything while on the computer (while chatting, in a virtual world, while doing interactive gaming?) Yes No Have your parents or guardians set rules about where you can or cannot go on the computer? Yes No If Yes, do you always follow these rules? Yes, I only go where I am allowed I usually follow the rules, but I have been to some places I shouldn't have once or twice No, I do not follow my parent's computer rules Check the box below that best matches your thoughts: My parents/guardians know more about the computer than I do. My parents/guardians and I know the same amount about computers. My parents/guardians know less about computers than I do.
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