Parents Say kNOw Survey
Page One
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1.
Are you a parent?
Yes
No
2.
IF YES ?�� How old are your children? (check more than one box, if applicable)
0-6
7-14
14
3.
Do you have rules in your household about what your children can watch on television?
Yes
No
4.
Do you allow your children to have a television in their bedroom?
Yes
No
5.
Do you use parental controls such as the V-Chip or those that come with your satellite or cable provider?
V-Chip
CABLE/SATELLITE
BOTH
NEITHER
OTHER
6.
Do you use the content ratings that appear in the upper-left hand corner of the screen to help guide you make informed decisions about appropriate TV viewing?
Yes
No
7.
Will you help other parents take charge of what their children watch on TV by providing some other tips or suggestions? If your tip is chosen to appear on the TV Watch website, you will receive a free Parents Pack that includes a TV Watch a universal remote, ratings sticker, tutorials on how to set the V-Chip and other parental controls, a DVD explaining the ratings and more. (Please include your email address below if you want to be eligible for the Parents Pack).
8.
May we have your email address so that we can update you on the latest TV Watch news? (Note: TV Watch never shares contact information with 3rd parties).