Last 4 digits of phone number - ***-***- __ __ __ __
(These numbers as well as your answers will be held in complete
confidentiality, we will just need the number in order to correlate parent and
child media audit data)
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Parents' Media Diary
(Optional)
TIME SPENT with the Media
A) Please shade in the amount of number of HOURS PER DAY that you spend for each of the following question.
________________________________________________________________________
________________________________________________________________________
1) How long did you read Books/
Magazines/ Comics?
0 1/2 1 1 1/2
2 2 1/2 3 3 1/2 4 4 1/2 5
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i) What books/magazines/comics did you read?
a)
_______________________________________
b)
_______________________________________
c)
_______________________________________
2) How long did you listen to the Radio/Stereo?
0 1/2 1 1 1/2
2 2 1/2 3 3 1/2 4 4 1/2 5
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i) What radio
stations did you listen to?
a)
_______________________________________
b)
_______________________________________
3) How long did you listen to music on CD
player/Walkman /Minidisc?
0 1/2 1 1 1/2
2 2 1/2 3 3 1/2 4 4 1/2 5
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i) What is the name
of the singers/groups that you listened to?
a) ______________________________________
b)
______________________________________
c)
_______________________________________
4) How long did you watch TV?
0 1/2 1 1 1/2
2 2 1/2 3 3 1/2 4 4 1/2 5
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i) What kinds of TV
shows did your watch?
a)
_______________________________________
b)
_______________________________________
c) _______________________________________
5) How long did you watch movies using a VCR/DVD?
0 1/2 1 1 1/2
2 2 1/2 3 3 1/2 4 4 1/2 5
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i) What movies did
you watch?
a) ______________________________________
b)
______________________________________
c)
______________________________________
6) How long did you use the Computer? (for work rather than personal
use)
0 1/2 1 1 1/2
2 2 1/2 3 3 1/2 4 4 1/2 5
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i) What did you do on
the computer?
a) _______________________________________
b)
_______________________________________
c)
_______________________________________
7) How long
did you spend playing games on the computer? (not
Online games)
0 1/2 1 1 1/2
2 2 1/2 3 3 1/2 4 4 1/2 5
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i) What games did you play on the computer?
a) _______________________________________
b)
_______________________________________
c)
_______________________________________
8) How long did
you spend playing online games?(using the Internet for gaming)
0 1/2 1 1 1/2
2 2 1/2
3 3 1/2 4 4 1/2 5
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i) What
online games did you play?
a) _______________________________________
b)
_______________________________________
c)
_______________________________________
9) How long did you use the computer for online Chatting?
0 1/2 1 1 1/2
2 2 1/2 3 3 1/2 4 4 1/2 5
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i) Who
did you chat with online on Monday?
(please
check the following)
_____ friend
from school/work
_____ friend
not from school/work, but someone you know in person
_____ someone
you only know online and have never me.
_____ a
relative
10) How long did
you spend on Email?
0 1/2 1 1 1/2 2 2 1/2 3 3 1/2 4 4 1/2 5
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11) Other: ________ (please specify)
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