Do you have a computer at home? YES NO

If you have a computer at home does your computer have Internet access? YESNONONE OF THE ABOVE

Do you have access to a computer with Internet at other locations, relatives, public library, neighbors? YESNO

Do you have access to other devices that allow you Internet access? Kindle Fire, Nook, iPad or other Tablet Video Game Console None of the Above More than one of the above Smart Phone such as iPhone or Android phone

When you are on the computer or on a internet enabled device, are you supervised by a parent or adult? YESNONONE OF THE ABOVE

Is your time on the Internet limited? YESNO

Do you have an address? YESNO

Do you have a social media webpage? (MySpace, Facebook) YESNO

Do your parents or guardians have access to your and/or social media site? YESNONONE OF THE ABOVE

Have you ever been cyber-bullied on or your social media site? YESNO

Would you know what to do if you were cyber-bullied online? YESNO