Agents of Socialization

1. Select the appropriate age range: 10-16 17-22 23-28 29+

2. Select one of the following options that best describe the type of family you live in: A. B. C. D. E. Nuclear (spouse and children) Extended ( several gens in a house) Single Parent Blended ( step family) Same sex

3. Choose the set of beliefs you most identify with: A. B. C. D. E. F. G. H. Christian Buddhism Sikhism Muslim Unsure (agnostic) None ( atheism) Judaism Other (Please specify

4. Do you actively practise your religion? Yes No Non-applicable 5. Religion is a major part in your life: Strongly Disagree Disagree Neutral Agree Strongly Agree

6. How often do you watch television in a week? A. Under 7 hours

B. 7-14 hours C. 15-21 hours D. 22+ hours 7. Please rank your interests in the following activities: Attending Church Family day Watching television/movies Participating in a religious youth group Family vacation Attending concerts 8. Who do you live with? A. B. C. D. Roommates Friends Family By yourself

9. How social would you say you are? 1 2 Very social 3 4 5 6 7 8 9 10 Anti- social

10. Why types of media are you exposed to? Newspapers Magazines Computers Television Music

11. How would you rank the relationship with your family? 1 2 3 Very Close 4 5 6 7 8 9 10 Very Distant

12. How many times on a weekly basis do you go out excluding school and work? A. Once a week B. Twice a week C. Three times a week

D. More than four times a week 13. If you have a celebrity idol, do you model morals off of them? Strongly Disagree Disagree Agree Strongly Agree

14. How often do celebrities come up in conversations? 1 2 3 Extremely Often 4 5 6 7 8 9 10 Very Rarely

15. Check the following people that you know of: Adam Lambert Lady Gaga Kim Kardashian Snooki Brad Pitt Angelina Jolie Prince William Drake Niki Minaj Mike The Situation Siddhartha Gautama Gandhi

16. Check the following social networking sites that you are registered to: Facebook Myspace Twitter Google + Instagram Tumblr Tiny pic

17. Family plays a significant part in your life? Strongly Disagree Disagree Neutral Agree Strongly Agree

18. Are you the eldest child in the family? A. Yes B. No 19. What do you refer to in times of sadness? A. Talk to God B. Listen to music C. Talk to parents/ and or siblings D. Other 20. Select the following that you enjoy reading: Newspapers Magazines Bible Fictional books Other