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* 1. Are you concerned about your child's safety on the internet?

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* 2. Is your child 8 or over?

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* 3. Would you like the staff of the service to speak to your child reguarding internet safety?

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* 4. What Service does your child use?

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* 5. Please watch the following clip without your child being present. To do so copy and paste the following URL
http://www.youtube.com/watch?v=_o8auwnJtqE
Did you find the clip -

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* 6. After viewing the clip, would you be interested in your child viewing and discussing it with their friends and have the opportunity to ask questions to a staff member?

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* 7. To ensure that your child has the opportunity to view the clip could you please enter your child's name below. If you don"t want them to view it put N/A.

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* 8. If you do not want your child to view the clip, please enter the child's name below. If you have already agreed to them viewing the clip, please put N/A.

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* 9. Please feel free to make any comments, they are appreciated. Thank you for taking the time to complete this questionnaire.

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