Reading and Video Games
Name: 


A red asterisk (*) indicates required questions.

  1. What gaming systems does your family own?*
    Playstation
    Xbox
    Wii
    DS
    Other personal gaming device
    None of these


  1. How much time to you spend playing on video games per evening?*
    30 minutes
    1 hour
    more than one hour
    I play a couple nights a week
    I am not allowed to play games during the week


  1. How much do you read each night?
    None
    10 minutes
    20 minutes
    30 minutes
    40 minutes
    50 minutes
    An hour
    More than an hour


  1. What do you choose do during the weekend?*
    Play video games
    Play outside
    Read
    Play with friends
    Watch TV
    Playing Sports


  1. Rank these things in order of favorite thing to do to least favorite.*
        1 2 3 4 5 6 7
    Playing outside  
    Playing video games  
    Reading  
    Playing with Friends  
    Watching TV  
    Doing Homework  
    Playing Sports  


  1. How much help do you get at home for homework?
     
      1 2 3 4 5  
    None  A lot


  1. How do you feel like your parents could help you?





Dan Gardner
VA