Technology wise JS 2011 Yr 4

1. Default Section

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* 1. Name:

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* 2. Gender:

Male

Female

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* 3. Technologies I have at home

	Yes	No
Computer at home	Computer at home Yes	Computer at home No
Computer I use in my room (including laptop)	Computer I use in my room (including laptop) Yes	Computer I use in my room (including laptop) No
Internet access at home	Internet access at home Yes	Internet access at home No
Internet access in my room	Internet access in my room Yes	Internet access in my room No
Xbox	Xbox Yes	Xbox No
Playstation/PSP	Playstation/PSP Yes	Playstation/PSP No
Wii	Wii Yes	Wii No
Mobile Phone	Mobile Phone Yes	Mobile Phone No
Ipod / mp3 player	Ipod / mp3 player Yes	Ipod / mp3 player No

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* 4. What I use my computer for

	Everyday	2-3 times a week	Every 2 weeks	Once a month	Never use
Surfing the web - for fun	Surfing the web - for fun Everyday	Surfing the web - for fun 2-3 times a week	Surfing the web - for fun Every 2 weeks	Surfing the web - for fun Once a month	Surfing the web - for fun Never use
Suring the web - for homework	Suring the web - for homework Everyday	Suring the web - for homework 2-3 times a week	Suring the web - for homework Every 2 weeks	Suring the web - for homework Once a month	Suring the web - for homework Never use
Sending emails	Sending emails Everyday	Sending emails 2-3 times a week	Sending emails Every 2 weeks	Sending emails Once a month	Sending emails Never use
Instant messaging/MSN	Instant messaging/MSN Everyday	Instant messaging/MSN 2-3 times a week	Instant messaging/MSN Every 2 weeks	Instant messaging/MSN Once a month	Instant messaging/MSN Never use
Webcam chatting	Webcam chatting Everyday	Webcam chatting 2-3 times a week	Webcam chatting Every 2 weeks	Webcam chatting Once a month	Webcam chatting Never use
Social networking for educational purposes e.g. Edmodo, Moodle, Moodle Chatroom	Social networking for educational purposes e.g. Edmodo, Moodle, Moodle Chatroom Everyday	Social networking for educational purposes e.g. Edmodo, Moodle, Moodle Chatroom 2-3 times a week	Social networking for educational purposes e.g. Edmodo, Moodle, Moodle Chatroom Every 2 weeks	Social networking for educational purposes e.g. Edmodo, Moodle, Moodle Chatroom Once a month	Social networking for educational purposes e.g. Edmodo, Moodle, Moodle Chatroom Never use
Social networking for other reasons e.g. Facebook or MySpace	Social networking for other reasons e.g. Facebook or MySpace Everyday	Social networking for other reasons e.g. Facebook or MySpace 2-3 times a week	Social networking for other reasons e.g. Facebook or MySpace Every 2 weeks	Social networking for other reasons e.g. Facebook or MySpace Once a month	Social networking for other reasons e.g. Facebook or MySpace Never use
Watching and sharing information - Youtube, videos etc.	Watching and sharing information - Youtube, videos etc. Everyday	Watching and sharing information - Youtube, videos etc. 2-3 times a week	Watching and sharing information - Youtube, videos etc. Every 2 weeks	Watching and sharing information - Youtube, videos etc. Once a month	Watching and sharing information - Youtube, videos etc. Never use
Word processing/PowerPoint for homework	Word processing/PowerPoint for homework Everyday	Word processing/PowerPoint for homework 2-3 times a week	Word processing/PowerPoint for homework Every 2 weeks	Word processing/PowerPoint for homework Once a month	Word processing/PowerPoint for homework Never use
Playing games	Playing games Everyday	Playing games 2-3 times a week	Playing games Every 2 weeks	Playing games Once a month	Playing games Never use

Other ways I use my computer

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* 5. The social networking sites I use

Bebo

Club Penguin

Facebook

MySpace

Superclubs Plus

Edmodo

Twitter

Moodle

None

Other (please specify)

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* 6. On my social networking sites I have

My first name

The suburb I live in

My mobile number

My last name

My school's name

My street address

A photo of myself

My birth date

My sporting club's name

Friends I don't know in real life

Friends I know through other friends

Friends I only know in real life

Privacy settings

A photo of myself in school uniform

Things I wouldn't want my teachers/parents seeing

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* 7. I play online games with

Friends I only know in real life

Friends I don't know in real life

The chat features turned on

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* 8. Ways I use my mobile phone for:

	Everyday	2-3 times a week	Every 2 weeks	Once a month	Never use
Text messaging	Text messaging Everyday	Text messaging 2-3 times a week	Text messaging Every 2 weeks	Text messaging Once a month	Text messaging Never use
Multimedia Messaging (MMS)	Multimedia Messaging (MMS) Everyday	Multimedia Messaging (MMS) 2-3 times a week	Multimedia Messaging (MMS) Every 2 weeks	Multimedia Messaging (MMS) Once a month	Multimedia Messaging (MMS) Never use
Making phone calls	Making phone calls Everyday	Making phone calls 2-3 times a week	Making phone calls Every 2 weeks	Making phone calls Once a month	Making phone calls Never use
Downloading ringtones and applications	Downloading ringtones and applications Everyday	Downloading ringtones and applications 2-3 times a week	Downloading ringtones and applications Every 2 weeks	Downloading ringtones and applications Once a month	Downloading ringtones and applications Never use
Listening to music	Listening to music Everyday	Listening to music 2-3 times a week	Listening to music Every 2 weeks	Listening to music Once a month	Listening to music Never use
Accessing the internet	Accessing the internet Everyday	Accessing the internet 2-3 times a week	Accessing the internet Every 2 weeks	Accessing the internet Once a month	Accessing the internet Never use
Viewing movies	Viewing movies Everyday	Viewing movies 2-3 times a week	Viewing movies Every 2 weeks	Viewing movies Once a month	Viewing movies Never use
Playing games (including online)	Playing games (including online) Everyday	Playing games (including online) 2-3 times a week	Playing games (including online) Every 2 weeks	Playing games (including online) Once a month	Playing games (including online) Never use
Taking photos or videos	Taking photos or videos Everyday	Taking photos or videos 2-3 times a week	Taking photos or videos Every 2 weeks	Taking photos or videos Once a month	Taking photos or videos Never use
Taking photos or videos to upload (web)or forward to other people	Taking photos or videos to upload (web)or forward to other people Everyday	Taking photos or videos to upload (web)or forward to other people 2-3 times a week	Taking photos or videos to upload (web)or forward to other people Every 2 weeks	Taking photos or videos to upload (web)or forward to other people Once a month	Taking photos or videos to upload (web)or forward to other people Never use

Other ways I use my mobile phone (and how often):

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* 9. Parental Knowledge

	Yes	No	Not sure
My parents understand how to use the technology I use	My parents understand how to use the technology I use Yes	My parents understand how to use the technology I use No	My parents understand how to use the technology I use Not sure
My parents understand how social networking sites work	My parents understand how social networking sites work Yes	My parents understand how social networking sites work No	My parents understand how social networking sites work Not sure
My parents know when I am using social networking sites	My parents know when I am using social networking sites Yes	My parents know when I am using social networking sites No	My parents know when I am using social networking sites Not sure
My parents monitor me when I use social networking sites or when I am on the internet	My parents monitor me when I use social networking sites or when I am on the internet Yes	My parents monitor me when I use social networking sites or when I am on the internet No	My parents monitor me when I use social networking sites or when I am on the internet Not sure

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* 10. Cybersafety Questions

I have been cyberbullied by:

	Yes	No
Text messages and/or images (mobile phone)	Text messages and/or images (mobile phone) Yes	Text messages and/or images (mobile phone) No
Instant messaging (e.g. Windows Live Messenger, iChat)	Instant messaging (e.g. Windows Live Messenger, iChat) Yes	Instant messaging (e.g. Windows Live Messenger, iChat) No
Email (including photos)	Email (including photos) Yes	Email (including photos) No
Social network sites	Social network sites Yes	Social network sites No
Having my personal details stolen (e.g. passwords, identify theft)	Having my personal details stolen (e.g. passwords, identify theft) Yes	Having my personal details stolen (e.g. passwords, identify theft) No

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* 1. Name:

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* 2. Gender:

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* 3. Technologies I have at home

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* 4. What I use my computer for

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* 5. The social networking sites I use

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* 6. On my social networking sites I have

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* 7. I play online games with

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* 8. Ways I use my mobile phone for:

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* 9. Parental Knowledge

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* 10. Cybersafety QuestionsI have been cyberbullied by:

* 10. Cybersafety Questions

I have been cyberbullied by: