Male
Female
8 to 10
11 to 14
15 to 17
18+
Home
Friend's House
School
Relative's House
Business Center
Parent's Office
Other (Please state ...)
Yes
No
Desktop
Laptop
Tablet
Mobile Phone
Me
My Mother
My Father
My Sibling
My Friend
My School
My Relative
06:00am - 11:59am (Morning)
12:00pm - 15:59pm (Afternoon)
16:00pm - 19:59pm (Evening)
20:00pm - 23:59pm (Late Evening)
00:00am - 05:59am (Night)
Daily
Every other Day
Monthly
Weekly
Weekends only
Less than 1 Hour
1-2 Hours
2-5 Hours
More than 5 Hours
Rarely
Sometimes
Most of the time
Always
Alone
With others
Games
Communicating
Movie
Music
News
Schoolwork
Social media
Shopping
Sports
Others (Please state ...)
Never
To some extent
Site Embargo
Must use in open area
Must not use at specific time
Software settings
Cannot use certain devices
Not necessary
Annoying
Invading my privacy
Worth it
Makes me feel protected
Shows they don't trust me
For my benefit
To some extent (Please explain)
Seldom
Often
Bullying by friends
Bullying by strangers
Threats from strangers
Threats from people I know
Received indecent images
Someone I don't know wants me to meet them
Unwanted friendship request
Hateful comment about me
Exposure of my private information
Someone tried to make me do what I know is wrong
Someone hijacked my Online profile and posted inappropriate content
Rude comments about me
Received request for sex
I responded to a SCAM Message
Other (If other please state what)
Told my parents about it.
Told my teacher about it
Told my friend(s) about it
Told my religious leader
Told the school counsellor
Told my guardian
Did nothing
Not Sure
Your name
Your pictures
Your email address
Your phone number
School information
Home address
Movement information
Family information
Name(s) of family member(s)
Other personal information
Added a stranger to your contact list
Added a stranger to your social media profile
Spoken on the phone with a stranger
Had a chat or sent messages to a stranger
Had an online discussions via Skype etc. with a stranger
Had a obscene conversation with a stranger
Flickr
Minecraft
Roblox
Twitter
Badoo
Myspace
Second Life
Classmates
Hi5
Skype
YouTube
Facebook
Instagram
Pinterest
Snapchat
Tumblr
Other (Please list)