| Information about Your Household |
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1
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How many children do you have? |
| 4 |
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2
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What age groups do your children fall into? |
- 15-19
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3
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Are any of your children overweight? |
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No |
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4
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How many television sets are in your home? |
| 2 |
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5
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How many DVD players or VCR/VCP’s are in your home? |
| 4 |
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6
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Where does your television service originate? |
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We have broadcast TV only. (no antenna) |
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7
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Do any of your children have a television in their bedrooms? |
- Yes, a teenager
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| TV Viewing Habits |
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8
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Which answer best describes your attitude towards television? |
- I feel that our television habits are out of control.
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9
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Describe your children’s television viewing time. |
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We do not limit our children’s viewing time, or they watch tv more than 3 hours a day. |
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10
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Describe the television viewing time of the adults in your household. |
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We do not limit our viewing time, or we watch tv more than 3 hours a day. |
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11
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Are you ready to make changes in your family’s tv habits? |
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We don’t need to make any changes. |
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12
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If you concerned about commercials, what specifically concerns you? |
- Sexual content
- Moral issues
- Effect on children
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| Statements and Final Comments |
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13
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Mark any of the following statements which are true. |
- My children watch whatever they want.
- I don’t know what my children are watching.
- I fight with my children over their television program choices.
- My children would watch TV all day if they were allowed.
- I watch TV with my children.
- My husband watches a lot of TV.
- There is conflict between my spouse and myself about the TV habits in our home.
- Someone in the house likes to watch the news.
- Someone in the house watches soap operas or day time talk shows.
- Someone in the house watches televised sports.
- Someone in the house watches prime time television.
- Someone in the house watches syndicated shows.
- I have at least 1 show that I never miss.
- We watch less TV on the weekends.
- The TV is usually on when we are eating meals.
- We use the TV for “background noise”.
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14
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Make any comments about television, your concerns, or any of the above questions. (maximum 200 characters) |
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15
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Would you be willing to be email or telephone interviewed for a book on this subject? IF so, please give your name and email address. |
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