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* 1. Do you use Covenant Eyes?

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* 2. Do you access the Internet on a mobile device?

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* 3. Including yourself, how many people in your immediate family access the Internet through a mobile device?

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* 4. Using the age groupings below, please indicate the number of people in your immediate family, including yourself, that access the Web on a mobile device.

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* 5. What mobile device(s) do you personally use to access the Web?

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* 6. What mobile device(s) do members of your immediate family use to access the Web?

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* 7. What mobile device(s) do you plan to buy in the near future for Internet access?

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* 8. What mobile device(s) do your immediate family members intend to buy in the near future for Internet access?

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* 9. Covenant Eyes provides Internet Accountability for Windows and Mac computers, as well as iPhone, iPad and iPod touch. Do you use Covenant Eyes on all of these devices that you own?

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* 10. To help support the cost of producing Internet Accountability apps for mobile devices, how much would you be willing to pay as a one-time download fee?

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* 11. Do you have a specific comment or request?

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