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* 1. Name

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* 2. Age

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* 3. Gender Identity

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* 4. City, State

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* 5. Email

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* 6. Phone Number. I will only text you if I can not reach you by email. 

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* 7. Are you a parent or guardian of one or more children under the age of 18 living with you?
If yes, please indicate the number of children under the age of 18 that you have.

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* 8. Please indicate your child/children’s age and gender.

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* 9. Does your child play video games regularly?

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* 10. Which child or children play video games and would you be willing to let participate in a video game related? Please put their name, gender identity, and age here.

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* 11. Thinking about the following occupations, can you tell me which, if any, you or a family member currently works in:

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* 12. Please answer the following question based on you or the the child who you would like to participate in the video game project. Of the following, which do you/they do on a regular basis, like at least once a week?

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* 13. Please answer the following question based on you or the the child who you would like to participate in the video game project
Which of the following devices do you currently have in your household?
And, how many hours per week do you/they currently play games on each device? Enter zero if you don’t game on that device.

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* 14. Please answer the following question based on you or the the child who you would like to participate in the video game project.  Which of the following mobile games have they ever played?

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* 15. Please answer the following question based on you or the the child who you would like to participate in the video game project. If you are the teen interested please answer for yourself. How many hours would you estimate they/you have played in this game total.

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* 16. Please answer the following question based on you or the the child who you would like to participate in the video game project
Of the games your child plays - when did they last play that game?

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* 17. Please answer the following question based on you or the the child who you would like to participate in the video game project. Of the games that you mentioned you or your child plays- have they ever watched a movie or show, or read a comic or book about this franchise?

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* 18. Please answer the following question based on you or the the child who you would like to participate in the video game project. Of the video games your child plays- have you ever bought a shirt, toy, collectible, or other merch for this franchise?

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