Age:
Boy
Teacher:
Girl
1. How often do you use the internet?
Every day
a
More than once a week
Once a week
Less than
once a week
2. When using the internet, how many hours do you use it for?
Less than an hour a day
1-3 hours
More than 3 hours a day
3. What do you do online? (Tick each activity you do)
Music – eg itunes, Spotify
Gaming
Social Media (eg facebook, twitter)
Email
Chat rooms
Drawing and art
Blogs
Shopping
Finding things out (web browsing)
News
Watch tv (eg iplayer)
Making your own website
Editing photos
Wikipedia
Youtube
Editing videos
Homework
4. Which devices do you use online? (Tick each one you use)
Tablet
Laptop
Portable games console
PC
Games console
Other:
5. When playing games online do you…?
Play with friends
Play with people you haven’t met
I don’t play games online
6. Name your 3 favourite games you play online
1.
2.
3.
Mobile phone
7. When using the internet for research, how many sites do you visit for
information?
1
2
3
4
More than 4
8. Which websites do you visit regularly?
BBC BBC iplayer
Google
Club penguin
Twitter
Youtube
Facebook
Instagram
Snapchat
Minecraft
Moshi monsters
Neopets
Wikipedia
Yahoo
Bin Weevils
9. List any other websites you use regularly below
10. Do you feel safe online
At school?
Yes
No
11.Do you know what this is?
Yes
Do you feel safe online
at home?
Yes
No
No
12.Where in your home do you use the internet?
13. Do you have your own mobile phone? Yes
No
14. If yes what do you use your phone for? Making phone calls
Texting
Taking photos
Social media
Internet
Music
15. If you take photos, do you …?
Send them to friends/family
Put them on social media
Save them to a computer
16. Have you ever had something unkind happen to you online or by
mobile phone? Yes
No
If yes please explain:
17. Would you know what to do if this happened to you?
Yes
No
If yes please explain: