Censorship Background Questionnaire
For each question, please choose the response that best fits your opinion and/or experience.
* Required
Into which age bracket do you fall?
*
Under 10 years old
10-13 years old
14-15 years old
Older than 15 years
Do you ever carefully read or listen to the lyrics of pop, rock, or rap music?
*
Yes
No
Do you ever listen to radio "shock jocks" like Howard Stern, Mancow, or Steve Dahl?
*
Yes
No
Do you ever watch TV with a Mature Adult (MA) rating?
*
Yes
No
Do you ever watch TV with a TV14 rating (intended for viewers 14 or older)?
*
Yes
No
Do your parents place restrictions on what you may or may not watch on television?
*
Yes
No
Have you ever visited a web site, internet chat room or message board on which there were words or images you thought others might find vulgar, sexually immoral, or inappropriate?
*
Yes
No
Have you ever seen an R or NC-17 rated movie?
*
Yes, I've seen both R and NC-17 movies.
I've seen R movies but not NC-17 movies.
I've seen NC-17 but not R movies.
I've never seen either type of movie.
Have you ever read a book that your parents/guardians questioned in terms of its appropriateness (language or subject matter)?
*
Yes
No
Have you ever been influenced by your personal belief system or that of your family not to participate in a certain activity, read a certain book, listen to a particular type of music, etc.?
*
Yes
No
In your opinion, are there ever instances in which a book, magazine, movie, TV show, song, idea, etc. is inappropriate?
*
Yes
No
If yes, when might one or more of these be inappropriate?
Have you ever been intrigued by something just because you read or heard that it was controversial?
*
Yes
No
Do you agree or disagree with the following statement: Some ideas are dangerous.
*
Agree
Disagree
Which period do you have reading class?
*
1st
3rd
4th
6th
9th