SURVEY FORM

NAME:__________________________________AGE:___ SURVEY FORM

COURSE/SEC.________________________ NAME:__________________________________AGE:___
ADDRESS:______________________________________ COURSE/SEC.________________________
Encircle the best answer for you. Be honest on ADDRESS:______________________________________
answering those questions. Encircle the best answer for you. Be honest on
1. What kind of websites do you visit the most? answering those questions.
a. social networking/blogs websites 1. What kind of websites do you visit the most?
b. downloading websites a. social networking/blogs websites
c. online gaming websites b. downloading websites
d. educational/reference websites c. online gaming websites
2. What is the most important reason why you use d. educational/reference websites
internet? 2. What is the most important reason why you use
a. for reference/educational use (Such as research for internet?
assignments, project or online lessons and so on...) a. for reference/educational use (Such as research for
b. for entertainment use (Such as listening to music, assignments, project or online lessons and so on...)
playing online games, watching videos and so on…) b. for entertainment use (Such as listening to music,
c. for communication use (Such as using social playing online games, watching videos and so on…)
networking, chat, blogs and so on…) c. for communication use (Such as using social
d. I don’t use internet. networking, chat, blogs and so on…)
3. Have you already access the restricted or 18+ d. I don’t use internet.
websites? (Be honest!) 3. Have you already access the restricted or 18+
a. yes b. no websites? (Be honest!)
c. maybe d. I don’t have any idea about that. a. yes b. no
4. Which do you prefer on these social networking c. maybe d. I don’t have any idea about that.
websites? 4. Which do you prefer on these social networking
a. Friendster b. Facebook websites?
c. Multiply d. Twitter a. Friendster b. Facebook
5. Have you experience that someone or somebody c. Multiply d. Twitter
hacked your account? (facebook, yahoomail, so on…) 5. Have you experience that someone or somebody
a. yes b. no hacked your account? (facebook, yahoomail, so on…)
c. maybe d. I don’t have any account. a. yes b. no
6. What internet connection do you use? c. maybe d. I don’t have any account.
a. MY DSL b. SMART BRO 6. What internet connection do you use?
c. GLOBE TATTOO d. none of these a. MY DSL b. SMART BRO
*name of family * age *qualification (yr.) c. GLOBE TATTOO d. none of these
AT THE BACK PORTION OF YOUR SURVEY FORM *name of family * age *qualification (yr.)
--------------------------------------------------------------- AT THE BACK PORTION OF YOUR SURVEY FORM
------ ---------------------------------------------------------------
SURVEY FORM ------
NAME:__________________________________AGE:___ SURVEY FORM
COURSE/SEC.________________________ NAME:__________________________________AGE:___
ADDRESS:______________________________________ COURSE/SEC.________________________
Encircle the best answer for you. Be honest on ADDRESS:______________________________________
answering those questions. Encircle the best answer for you. Be honest on
1. What kind of websites do you visit the most? answering those questions.
a. social networking/blogs websites 1. What kind of websites do you visit the most?
b. downloading websites a. social networking/blogs websites
c. online gaming websites b. downloading websites
d. educational/reference websites c. online gaming websites
2. What is the most important reason why you use d. educational/reference websites
internet? 2. What is the most important reason why you use
a. for reference/educational use (Such as research for internet?
assignments, project or online lessons and so on...) a. for reference/educational use (Such as research for
b. for entertainment use (Such as listening to music, assignments, project or online lessons and so on...)
playing online games, watching videos and so on…) b. for entertainment use (Such as listening to music,
c. for communication use (Such as using social playing online games, watching videos and so on…)
networking, chat, blogs and so on…) c. for communication use (Such as using social
d. I don’t use internet. networking, chat, blogs and so on…)
3. Have you already access the restricted or 18+ d. I don’t use internet.
websites? (Be honest!) 3. Have you already access the restricted or 18+
a. yes b. no websites? (Be honest!)
c. maybe d. I don’t have any idea about that. a. yes b. no
4. Which do you prefer on these social networking c. maybe d. I don’t have any idea about that.
websites? 4. Which do you prefer on these social networking
a. Friendster b. Facebook websites?
c. Multiply d. Twitter a. Friendster b. Facebook
5. Have you experience that someone or somebody c. Multiply d. Twitter
hacked your account? (facebook, yahoomail, so on…) 5. Have you experience that someone or somebody
a. yes b. no hacked your account? (facebook, yahoomail, so on…)
c. maybe d. I don’t have any account. a. yes b. no
6. What internet connection do you use? c. maybe d. I don’t have any account.
a. MY DSL b. SMART BRO 6. What internet connection do you use?
c. GLOBE TATTOO d. none of these a. MY DSL b. SMART BRO
*name of family * age *qualification (yr.) c. GLOBE TATTOO d. none of these
AT THE BACK PORTION OF YOUR SURVEY FORM *name of family * age *qualification (yr.)
AT THE BACK PORTION OF YOUR SURVEY FORM