THIS SURVEY IS ABOUT USAGE OF ELECTONICS AND GAMING. RESULTS MAY BE USED BY DR. BERK IN HIS PRESENTIONS, BOOKS, OR ARTICLES, BUT NO PERSONAL IDENTIFYING DATA WILL BE DISCLOSED. BY PROVIDING ANSWERS YOU AGREE TO THESE TERMS. YOU WILL ALSO ENTERED IN A DRAWING FOR AN OPPORTUNITY TO WIN A FREE BOOK FROM DR. BERK ENTITLED "A PARENTS QUICK GUIDE TO ELECTRONIC ADDICTION".

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* 2. HOW LONG DOES YOUR SON/DAUGHTER (OR YOU IF ADULT) SPEND ON ELECTRONIC DEVICES PER WEEK (NOT INCLUDING SCHOOL OR WORK PURPOSES)

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* 3. CHECK ALL MEDIA THAT THEY USE ON A REGULAR BASIS

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* 4. AGE THE INDIVIDUAL STARTED USING THESE ELECTRONICS

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* 5. IF A "gamer" what age did they (you) begin playing video games

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* 6. THE BIGGEST ISSUES: (CHECK ALL THAT APPLY)

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* 7. IF A GAMER WHAT GAMES ARE THE TOP 3 PLAYED

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* 8. WHEN RATING THE INDIVIDUAL, I FEEL THEY HAVE A ISSUE WITH ELECTRONIIC USEAGE

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* 9. AS A PARENT, I HAVE EXPERIENCED THE FOLLOWING (CHECK ALL THAT APPLY)

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* 10. EMAIL ADDRESS ...IF YOU WISH TO BE IN DRAWING FOR FREE BOOK

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