About Television and Your Family
Please check all that apply
Do you own a TV?
yes
yes more than 1
no
Do you have children?
yes
no
Do your children have a television in their room?
yes
no
not in their room but in a special room (toy room, etc)
How much TV do you watch in a week?
less than 1 hour
between 1 to 5 hours
5 to 10 hours
more than 10 hours
Other:
How much do your children watch in a week?
less than an hour
between 1 to 5 hours
5 to 10 hours
more than 10 hours
Other:
What are the ages of your children?
0-4 years
5-8 years
9 - 12 years
12 to 15 years
15 to 18 years
18 older still living in your house
Would you be willing to unplug your TV for a week?
yes
no
Option 3
Other:
What kind of shows do you watch most often?
reality TV
crime shows
daytimesoap opra
movies
sitcoms
night time soap opras=
Other:
What does your Children Watch Most Often?
cartoons
movies
whatever the family watches
Other:
Do your children watch DVD's or other instead of regular primetime TV most often?
regular programming
all DVD/VCR movies
Other: