Appendix D: 7th-9th Grade Survey Instrument

Appendix D: 7th-9th Grade Survey Instrument

Student 7-9 Survey of Internet and At-Risk Behaviors 1) 7-9th GRADE ASSENT TO PARTICIPATE IN THE RIT SURVEY OF INTERNET AND AT-RISK BEHAVIORS You are being asked to take part in a research study to help teachers learn more about how students use computers. Researchers want to ask you some questions about how you use computers, other types of electronic devices and the Internet. You will not directly benefit from answering these questions, and it will take you about ten minutes to answer all the questions. Some of the questions may cause you to think about things that make you feel uncomfortable. Your parents have been notified about this research and they have not objected to you participating or answering questions. But your participation is completely voluntary. You can decide not to answer any questions. You can also change your mind and to stop answering questions at any time for any reason. And no one will be upset if you do not want to answer any questions or if you decide to stop answering questions. Your answers will remain complete confidential. No one will know your answers to any questions. And nothing you say will be identified with your family or friends. You can ask your teacher any questions that you may have about the study. You may also ask your teacher about any questions that you do not understand while you are answering them. If you choose to stop answering questions at any time during the survey, just raise your hand and let your teacher or administrator know. Do you want to participate in the survey? If you do, choose YES. If you do not, choose NO. 2) Are you male or female? Male

Female 3) What grade are you in? Seventh grade Eighth grade Ninth grade 4) How old are you? 5) How old were you when you started using computers? 6) Who taught you the most about computers? Parent Brother/Sister Friend Teacher Self-taught Other (please specify) If you selected other please specify: 7) Choose all that you use to go onto the Internet: Desktop Computer Laptop Computer PDA (Palm, ipaq) Cell phone with a web browser Gaming Console like Xbox360, Wii, PS3 Portable Gaming Console like Nintendo DS, PSP Other (please specify) If you selected other please specify: 8) Choose all of the things you do on the Internet Instant message Read or Write E-mail Chat in Online Chat Rooms Text message with a cell phone Blog or Surf websites like Myspace or Facebook Browse the Web Make or work on your own web pages Research online for homework & school activities

Shop online Watch videos or listen to music online Download music or movies Play Online Video Games Research online for information that s hard to talk about with other people Look at or download pictures online 9) During the last year when you used the Internet at home, how much did your parents supervise you? t at all A little Some A lot All the time 10) During the last school year how much have your parents talked to you about how you use the Internet? t at all A little Sometimes A lot All the time 11) During the last year did your parents limit the amount of time you spent using the Internet? If yes, please write in the additional comments box how many hours per week you were allowed to use the Internet. Additional comments: 12) During the last year where were you when you used the Internet? (Please check all that apply) Home in the kitchen or living room Home in a bedroom or a basement School in a lab, classroom or library School in a private space like a bathroom At a friend s house in the kitchen or the living room At a friend s house in a bedroom or a basement 13) During the last year how many different people did you talk with online? 14) During this school year, how many people did you talk with online that you have

never met in person? 15) During the last school year, have you used the Internet to: Chat with someone Take advice Give personal information about yourself Talk about things that are very private Accept an invitation to meet someone in person Ask someone to meet in person 16) During the last year, have you used the Internet to post: Information about your schedule Your contact information Your real name Your real street address A real picture of yourself Information about your interests Information about your school Information about your activities 17) During the past year: Has someone used your computer password without you saying it was ok to do? Has someone stolen your computer, cell phone, or gaming console? Has someone pretended to be you online without you saying it is ok? Has someone embarrassed you online? Has someone bullied or threatened you online? Has someone online asked you for pictures of yourself without your clothes on? Has someone online shown you pictures of themselves without their clothes on? Has someone online asked you to talk to them about sexual things? Has someone online talked to you about sexual things? If you did not answer "Yes" to any part of Question 16 on the previous screen, please click the "Next Page" button below, without answering questions 17 or 18. (Note: You can refresh your memory about question 16 by clicking on the "Previous Page"

button below) 18) If you answered yes to one or more things in Question 16, was the person or people involved: (Check all that apply) A man A woman A boy A girl A classmate who is not a friend A friend you know in person An online friend you have not met in person A person online you do not know A parent or guardian Someone else in your family A Teacher Someone else who you know I do not know who it was 19) If you answered yes to one or more things in Question 16 on the previous screen, who did you tell about what happened? (Check all that apply) Parent or Guardian Someone else in your family Law Enforcement Teacher or other School Official A friend that you know in person A friend that you have only met online I talked about this incident on a blog or other web page one 20) Which of the following things do you see your friends doing most often? Harassing others online Downloading music or movies illegally Downloading and viewing pornographic or sex-related content Using computers or other electronic devices to cheat on school assignments or exams Getting into computers or computer networks without permission Pretending to be someone you know without their knowledge or permission on the Internet Buying or attempting to buy prescription or illegal drugs online I don't see my friends doing any of these things 21) How wrong is it to <Q20>? t at all wrong

A little wrong Neither right nor wrong Mostly wrong Very wrong 22) Do you ever participate in? 23) Which of the following things have you used a computer to do within the last year: (Please check all that apply) Give out someone s password without their permission Hack someone s computer Pretend to be someone else online Put embarrassing information about someone else online Bully or threaten someone Lie about your age Lie about your being male or female, or about how you look Ask someone for a picture of themselves without their clothes on Ask someone about private or sexual things about their body Download music you did not pay for Download movies you did not pay for Share music you did not pay for Share movies you did not pay for Use someone else s thoughts, research or writing as your own Buy papers to use as your own in school work Sell your own papers for others to use as school work Cheat on school work Cheat on tests Get around a blocking or filtering system designed to prevent you from accessing certain content 24) Choose Yes or No for each of the following: I feel lonely with my family My family is not interested in my problems My parents think I m a bad kid I am not doing very well in school I don t feel that I fit in very well with my friends My online friends are different from my in-person friends I would rather chat online than in person Computers help me to feel in control I am a happy person I am a sad person

25) Has using the Internet ever caused you any kind of a personal problem? 26) Have you ever asked for help for a personal problem related to your Internet use? t Sure 27) Do family members or friends ever tell you that you should cut down on your use of the Internet? 28) Choose Yes or No for each of the following: Not Applicable Have you ever ridden in a car driven by someone who was "high" or had been using alcohol or drugs? Do you ever use alcohol or drugs to relax, feel better about yourself, or fit in? Do you ever use alcohol/drugs while you are by yourself, alone? Do family members or friends ever tell you that you should cut down on your drinking or drug use? Do you ever forget things you did while using alcohol or drugs? Have you gotten into trouble while you were using alcohol or drugs?