No - GfK MRI

Transcription

No - GfK MRI
2016
AMERICAN
KIDS
STUDY
124372_Forward_MRI Kids Questionaire_short version 3/8/16 9:30 AM Page 1
Hi!
We are talking to kids all over the United States
about things they have, and do, and things that are
important to them.
This workbook is for you to tell us what you think.
A grown-up can help you read the questions, but
please give all the answers yourself.
Thank you for all your help!
turn the page
117302_Tabs_MRI Kids Questionaire_short version 2/25/15 10:32 AM Page 1
about you
124372_Forward_MRI Kids Questionaire_short version 3/8/16 9:30 AM Page 3
about you
Are you a …
q Boy
q Girl
[40-1]
How old are you?
q
q
q
q
q
q
q
q
5 years old [41-1]
6 years old
7 years old [3]
8 years old
9 years old [5]
10 years old
11 years old [7]
12 years old
What grade are you in?
q
q
q
q
q
q
q
q
q
q
A01
[C-1]
Kindergarten [42-1]
1st grade
2nd grade [3]
3rd grade
4th grade [5]
5th grade
6th grade [7]
7th grade
8th grade [9]
Other (write in: _______________________ )
turn the page
117302_Tabs_MRI Kids Questionaire_short version 2/25/15 10:32 AM Page 2
magazines
124372_Forward_MRI Kids Questionaire_short version 3/8/16 9:30 AM Page 5
Directions Page
In this section, we are going to ask you some questions about
MAGAZINES. Read each question carefully and put an “X”
in the box next to your answer.
Watch for a yellow arrow next to your answer. When you see
a yellow arrow pointing to the right (
), turn the page.
When you see a yellow arrow pointing down (
next question on the page.
), go to the
Here is a page for you to
look at as an example.
turn the page
124372_Forward_MRI Kids Questionaire_short version 3/8/16 9:30 AM Page 6
Have you read or looked through AMERICAN GIRL MAGAZINE
in the last year (that is the last 12 months)? (Pick one) [12]
No
Not Sure [2]
Yes
How many copies of AMERICAN GIRL MAGAZINE did you read
or look through in the last year (that is the last 12 months)? (Pick one)
(There are 6 different copies in a year)
q All or q Some
q Most
[2]
[13]
q 1 or 2 q None
[4]
q Not Sure
Have you read or looked through AMERICAN GIRL MAGAZINE in
the last two months (last 60 days)? (Pick one) [14]
q Yes
q No
[2]
q Not Sure
Have you read or looked through BOYS’ LIFE MAGAZINE in the
last year (that is the last 12 months)? (Pick one) [15]
No
Not Sure [2]
Yes
How many copies of BOYS’ LIFE MAGAZINE did you read or
look through in the last year (that is the last 12 months)? (Pick one)
(There are 12 different copies in a year)
q All or q Some
q Most
[2]
[16]
q 1 or 2 q None
[4]
q Not Sure
Have you read or looked through BOYS’ LIFE MAGAZINE in the
last month (last 30 days)? (Pick one) [17]
q Yes
q No
[2]
q Not Sure
M01
[C-2]
turn the page
124372_Forward_MRI Kids Questionaire_short version 3/8/16 9:30 AM Page 7
Have you read or looked through J-14 MAGAZINE in the
last year (that is the last 12 months)? (Pick one) [18]
No
Not Sure [2]
Yes
How many copies of J-14 MAGAZINE did you read or look
through in the last year (that is the last 12 months)? (Pick one)
(There are 10 different copies in a year)
q All or q Some
q Most
[2]
[19]
q 1 or 2 q None
[4]
q Not Sure
Have you read or looked through J-14 MAGAZINE in the
last month (last 30 days)? (Pick one) [20]
q Yes
q No
[2]
q Not Sure
Have you read or looked through NATIONAL GEOGRAPHIC KIDS
MAGAZINE in the last year (that is the last 12 months)? (Pick one) [21]
No
Not Sure [2]
Yes
How many copies of NATIONAL GEOGRAPHIC KIDS MAGAZINE
did you read or look through in the last year (that is the last 12
months)? (Pick one) (There are 10 different copies in a year) [22]
q All or q Some
q Most
[2]
q 1 or 2 q None
[4]
q Not Sure
Have you read or looked through NATIONAL GEOGRAPHIC KIDS
MAGAZINE in the last month (last 30 days)? (Pick one) [23]
q Yes
M02
[C-2]
q No
[2]
q Not Sure
turn the page
124372_Forward_MRI Kids Questionaire_short version 3/8/16 9:30 AM Page 8
Have you read or looked through SPORTS ILLUSTRATED KIDS
MAGAZINE in the last year (that is the last 12 months)? (Pick one) [24]
No
Not Sure [2]
Yes
How many copies of SPORTS ILLUSTRATED KIDS MAGAZINE
did you read or look through in the last year (that is the last 12
months)? (Pick one) (There are 11 different copies in a year) [25]
q All or q Some
q Most
[2]
q 1 or 2 q None
[4]
q Not Sure
Have you read or looked through SPORTS ILLUSTRATED KIDS
MAGAZINE in the last month (last 30 days)? (Pick one) [26]
q Yes
M03
[C-2]
q No
[2]
q Not Sure
turn the page
124372_Forward_MRI Kids Questionaire_short version 3/8/16 9:30 AM Page 9
These are some of the things other kids
have said about MAGAZINES. Thinking
about yourself, which of the following
statements do you completely agree with?
I COMPLETELY AGREE that:
(You can pick more than one) [42]
q
q
q
q
q
I read magazines for fun.
I enjoy playing the games in magazines. [2]
Reading magazines makes me think.
I like to look at the ads or advertisements in magazines. [4]
I learn a lot from reading magazines.
What do you do with your magazines after you have read them?
(You can pick more than one) [43]
q
q
q
q
q
q
M99
[C-2]
I save them to read again.
I save them for my collection. [2]
I share them with my friends or family.
I cut out pictures, articles, or ads. [4]
I throw them away or recycle them.
I don’t do any of these things. [6]
turn the page
117302_Tabs_MRI Kids Questionaire_short version 2/25/15 10:32 AM Page 3
media
(
)
tv, internet, video games,,
q
movies,
radio, and music
q
q
q
turn the page
124372_Forward_MRI Kids Questionaire_short version 3/8/16 9:30 AM Page 11
Have you watched any of these in the
LAST WEEK (last 7 days) and if yes, what did
you watch it on? (Put an X in the box) (You can pick
more than one)
Watched in Last Week?
B01
[C-3]
q
q
q
q
Yes, on a TV [12]
Yes, on a Computer
Yes, on a Tablet or Phone
No
q
q
q
q
Yes, on a TV
Yes, on a Computer
Yes, on a Tablet or Phone
No
q
q
q
q
Yes, on a TV
Yes, on a Computer
Yes, on a Tablet or Phone
No
q
q
q
q
Yes, on a TV
Yes, on a Computer
Yes, on a Tablet or Phone
No
q
q
q
q
Yes, on a TV
Yes, on a Computer
Yes, on a Tablet or Phone
No
q
q
q
q
Yes, on a TV
Yes, on a Computer
Yes, on a Tablet or Phone
No
q
q
q
q
Yes, on a TV [18]
Yes, on a Computer
Yes, on a Tablet or Phone
No
turn the page
124372_Forward_MRI Kids Questionaire_short version 3/8/16 9:30 AM Page 12
Have you watched any of these in the
LAST WEEK (last 7 days) and if yes, what did
you watch it on? (Put an X in the box) (You can pick
more than one)
Watched in Last Week?
(Formerly ABC Family)
B02
[C-3]
q
q
q
q
Yes, on a TV [19]
Yes, on a Computer
Yes, on a Tablet or Phone
No
q
q
q
q
Yes, on a TV
Yes, on a Computer
Yes, on a Tablet or Phone
No
q
q
q
q
Yes, on a TV
Yes, on a Computer
Yes, on a Tablet or Phone
No
q
q
q
q
Yes, on a TV
Yes, on a Computer
Yes, on a Tablet or Phone
No
q
q
q
q
Yes, on a TV
Yes, on a Computer
Yes, on a Tablet or Phone
No
q
q
q
q
Yes, on a TV
Yes, on a Computer
Yes, on a Tablet or Phone
No
q
q
q
q
Yes, on a TV [25]
Yes, on a Computer
Yes, on a Tablet or Phone
No
turn the page
124372_Forward_MRI Kids Questionaire_short version 3/8/16 9:30 AM Page 13
Have you watched any of these in the
LAST WEEK (last 7 days) and if yes, what did
you watch it on? (Put an X in the box) (You can pick
more than one)
Watched in Last Week?
B03
[C-3]
q
q
q
q
Yes, on a TV [26]
Yes, on a Computer
Yes, on a Tablet or Phone
No
q
q
q
q
Yes, on a TV
Yes, on a Computer
Yes, on a Tablet or Phone
No
q
q
q
q
Yes, on a TV
Yes, on a Computer
Yes, on a Tablet or Phone
No
q
q
q
q
Yes, on a TV
Yes, on a Computer
Yes, on a Tablet or Phone
No
q
q
q
q
Yes, on a TV
Yes, on a Computer
Yes, on a Tablet or Phone
No
q
q
q
q
Yes, on a TV
Yes, on a Computer
Yes, on a Tablet or Phone
No
q
q
q
q
Yes, on a TV [32]
Yes, on a Computer
Yes, on a Tablet or Phone
No
turn the page
124372_Forward_MRI Kids Questionaire_short version 3/8/16 9:30 AM Page 14
Have you watched any of these in the
LAST WEEK (last 7 days) and if yes, what did
you watch it on? (Put an X in the box) (You can pick
more than one)
Watched in Last Week?
B04
[C-3]
q
q
q
q
Yes, on a TV [33]
Yes, on a Computer
Yes, on a Tablet or Phone
No
q
q
q
q
Yes, on a TV
Yes, on a Computer
Yes, on a Tablet or Phone
No
q
q
q
q
Yes, on a TV
Yes, on a Computer
Yes, on a Tablet or Phone
No
q
q
q
q
Yes, on a TV
Yes, on a Computer
Yes, on a Tablet or Phone
No
q
q
q
q
Yes, on a TV
Yes, on a Computer
Yes, on a Tablet or Phone
No
q
q
q
q
Yes, on a TV [38]
Yes, on a Computer
Yes, on a Tablet or Phone
No
turn the page
124372_Forward_MRI Kids Questionaire_short version 3/8/16 9:30 AM Page 15
tv
How often do you usually watch TV? (Pick one)
q
q
q
q
q
Every day [48-1]
3 to 6 days a week
1 to 2 days a week
Less than once a week [4]
I don’t usually watch TV
q
q
q
q
q
q
q
q
q
q
Mom [49-1]
Dad
Another adult [3]
Older brother
Younger brother [5]
Older sister
Younger sister [7]
Friends
By myself [9]
Someone else
(Turn 2 pages to the
INTERNET/ONLINE section)
Who do you watch TV with? (You can pick more than one)
When you watch TV, how often do you watch with a parent?
(Pick one)
q
q
q
q
Always [50-1]
Most of the time
Sometimes [3]
Never
When you watch TV with a parent, who decides what to watch?
(Pick one)
q
q
q
q
I decide [51-1]
My parent decides
We decide together [3]
I don’t watch TV with a parent
When you watch TV with a brother or sister, who decides what
to watch? (Pick one)
D04
[C-3]
q
q
q
q
I decide [52-1]
My brother or sister decides
We decide together [3]
I don’t watch TV with a brother or sister
turn the page
124372_Forward_MRI Kids Questionaire_short version 3/8/16 9:30 AM Page 16
tv
What do you watch on TV? (You can pick more than one)
q
q
q
q
q
q
q
q
q
q
Cartoons [53-1]
Funny shows
Action or adventure shows [3]
Real stories about people or animals
Movies [5]
Music and dancing shows
Shows about space, robots or science [7]
Sad or serious shows
Shows about children and families [9]
Other
Do you use Video-On-Demand to watch TV shows or movies?
(Pick one)
q Yes
q No
q Not Sure
[54-1]
[3]
Do you record TV shows and movies using TiVo or
another DVR? (Pick one)
q Yes
q No
q Not Sure
[55-1]
[3]
How much time do you spend watching TV on a typical
school day or week day (Monday through Friday)? (Pick one)
q
q
q
q
q
Less than 1/2 hour [56-1]
1/2 hour to less than 1 hour
1 hour to less than 2 hours [3]
2 hours to less than 5 hours
5 hours or more [5]
How much time do you spend watching TV on a typical
weekend day (Saturday or Sunday)? (Pick one)
D05
[C-3]
q
q
q
q
q
Less than 1/2 hour [57-1]
1/2 hour to less than 1 hour
1 hour to less than 2 hours [3]
2 hours to less than 5 hours
5 hours or more [5]
turn the page
124372_Forward_MRI Kids Questionaire_short version 3/8/16 9:30 AM Page 17
internet/online
When you pick an answer that has this sign
next to it, turn the page.
Have you gone online in the last month (last 30 days)? (Pick one)
q Yes
q No
[58-1]
(Turn 9 pages to the MOVIES section)
Where were you when you went online in the last month
(last 30 days)? (You can pick more than one)
q
q
q
q
At home [59-1]
At school
At the library or bookstore [3]
Someplace else (like a friend’s house)
How often do you usually go online? (Pick one)
q
q
q
q
Every day [60-1]
3 to 6 days a week
1 to 2 days a week [3]
Less than once a week
Do you have your own email address? (Pick one)
q Yes
q No
q Not Sure
[61-1]
[3]
What websites or search engines do you use to find websites?
(You can pick more than one)
q
q
q
q
q
q
q
D06
[C-3]
AOL /AOL.com [62-1]
Ask.com
Bing.com [3]
Google.com
Yahoo.com [5]
Other (write in: _______________________ )
I don’t use websites or search engines to find websites [7]
turn the page
124372_Forward_MRI Kids Questionaire_short version 3/8/16 9:30 AM Page 18
internet/online
If you have not gone online in the last month,
turn 8 more pages to the MOVIES section.
What activities did you do online in the last month
(last 30 days)? (You can pick more than one)
q
q
q
q
q
q
q
q
q
q
q
q
q
q
q
q
q
q
q
q
q
q
q
D07
[C-3]
Used Email [63-1]
Used chat or IM
Did stuff for school/homework [3]
Shopped or looked at things to buy
Went to chat rooms [5]
Downloaded music
Listened to music [7]
Downloaded games
Played online games [9]
Got tips or cheats on games
Looked for websites/surfed the web [X]
Watched videos, TV programs or movies
Visited a radio station or radio program’s website [64-1]
Visited a TV network or TV show’s website
Blogged or kept online journal [3]
Found out about different things I like
Downloaded a TV program [5]
Downloaded a movie
Shared pictures [7]
Looked for information about exercising
Looked for information about being healthy [9]
Looked for information about entertainment
or celebrities
Other [X] (write in: ___________________ )
turn the page
124372_Forward_MRI Kids Questionaire_short version 3/8/16 9:30 AM Page 19
internet/online
If you have not gone online in the last month,
turn 7 more pages to the MOVIES section.
Which type of messaging or chat services do you use?
(You can pick more than one)
q
q
q
q
q
q
q
q
q
q
q
AIM/AOL Instant Messenger [66-1]
Facebook Messenger
FaceTime [3]
Google Hangouts
Skype [5]
Snapchat
WeChat [7]
WhatsApp
Yahoo! Messenger [9]
Other (write in: _______________________ )
I don’t use any chat services [X]
Do your parents let you go anywhere you want on the Internet?
(Pick one)
q Yes
[67-1]
q No
How much time do you spend using the Internet on a typical
school day or week day (Monday through Friday)? (Pick one)
q
q
q
q
q
Less than 1/2 hour [68-1]
1/2 hour to less than 1 hour
1 hour to less than 2 hours [3]
2 hours to less than 5 hours
5 hours or more [5]
How much time do you spend using the Internet on a typical
weekend day (Saturday or Sunday)? (Pick one)
q
q
q
q
q
D08
[C-3]
Less than 1/2 hour [69-1]
1/2 hour to less than 1 hour
1 hour to less than 2 hours [3]
2 hours to less than 5 hours
5 hours or more [5]
turn the page
124372_Forward_MRI Kids Questionaire_short version 3/8/16 9:30 AM Page 20
social media
If you have not gone online in the last month,
turn 6 more pages to the MOVIES section.
Do you have your own account or your own page on social
media, like Instagram or Facebook? (Pick one)
q Yes
q No
(Go to Question 3) [70-1]
If no, do you use a friend or family member’s social media
account? (Pick one)
q Yes
q No
[71-1]
(Turn the page)
Have you done any of these on social media in the last month
(last 30 days)? (You can pick more than one)
q
q
q
q
q
q
q
q
q
q
q
q
q
q
q
q
q
q
q
D09 q
[C-3]
Update your status [72-1]
Update your profile
Post a picture [3]
Post a video
Post a website link [5]
Visit a friend’s profile or page
Comment on a friend’s post [7]
Post a blog entry
Comment on a product or service [9]
Send a message or e-mail
Use chat or IM [X]
Play a game
Invite people to an event [73-1]
Post that you “Like” something
“Follow” or become a “fan of” something or someone [3]
Click on an advertisement
Watch a video [5]
Post your current location
Use hashtags(#) in a post or comment [7]
Other (write in) _____________________ turn the page
124372_Forward_MRI Kids Questionaire_short version 3/8/16 2:41 PM Page 21
Have you visited or used any of these
websites or apps in the LAST MONTH (last 30 days)?
(Put an X in the box)
Visited or Used
in Last Month?
addictinggames.com
q Yes
q No
Visited or Used
in Last Month?
q Yes
q No
[12]
[18]
clubpenguin.com
americangirl.com
q Yes
q No
q Yes
q No
discoveryfamilychannel.com
q Yes
q No
q Yes
q No
discoverykids.com
aol.com
q Yes
q No
q Yes
q No
disney.com
barbie.com
q Yes
q No
q Yes
q No
boyslife.org
disneychannel.com
q Yes
q No
cartoonnetwork.com
E09
[C-4]
q Yes
q No
[17]
disneyjunior.com
turn the page
[23]
124372_Forward_MRI Kids Questionaire_short version 3/8/16 2:41 PM Page 22
Have you visited or used any of these
websites or apps in the LAST MONTH (last 30 days)?
(Put an X in the box)
Visited or Used
in Last Month?
q Yes
q No
Visited or Used
in Last Month?
q Yes
q No
[24]
[30]
disneyxd.com
iheart.com
q Yes
q No
q Yes
q No
easports.com
espn.com
instagram.com
q Yes
q No
q Yes
q No
itunes.com
q Yes
q No
itunesradio.com
q Yes
q No
facebook.com
q Yes
q No
q Yes
q No
J-14.com
funbrain.com
q Yes
q No
hasbro.com
E10
[C-4]
q Yes
q No
[29]
lego.com
turn the page
[35]
124372_Forward_MRI Kids Questionaire_short version 3/8/16 2:41 PM Page 23
Have you visited or used any of these
websites or apps in the LAST MONTH (last 30 days)?
(Put an X in the box)
Visited or Used
in Last Month?
q Yes
q No
Visited or Used
in Last Month?
q Yes
q No
[36]
marvel.com
[42]
kids.nationalgeographic.com
q Yes
q No
q Yes
q No
nick.com
marvelkids.com
q Yes
q No
nickjr.com
q Yes
q No
nicktoons.com
q Yes
q No
mattel.com
minecraft.net
q Yes
q No
miniclip.com
q Yes
q No
q Yes
q No
pbskids.org
q Yes
q No
[41]
pandora.com
q Yes
q No
msn.com
E11
[C-4]
turn the page
[47]
124372_Forward_MRI Kids Questionaire_short version 3/8/16 2:41 PM Page 24
Have you visited or used any of these
websites or apps in the LAST MONTH (last 30 days)?
(Put an X in the box)
Visited or Used
in Last Month?
q Yes
q No
Visited or Used
in Last Month?
q Yes
q No
[48]
[53]
sikids.com
pinterest.com
q Yes
q No
q Yes
q No
spotify.com
poptropica.com
q Yes
q No
q Yes
q No
radiodisney.com
sproutonline.com
q Yes
q No
q Yes
q No
roblox.com
starwars.com
q Yes
q No
[52]
teennick.com
q Yes
q No
snapchat
E12
[C-4]
turn the page
[57]
124372_Forward_MRI Kids Questionaire_short version 3/8/16 2:41 PM Page 25
Have you visited or used any of these
websites or apps in the LAST MONTH (last 30 days)?
(Put an X in the box)
Visited or Used
in Last Month?
q Yes
q No
Visited or Used
in Last Month?
q Yes
q No
[58]
[63]
twitter.com
wizard101.com
vevo.com
q Yes
q No
q Yes
q No
wwe.com
q Yes
q No
yahoo.com
q Yes
q No
vine.co
q Yes
q No
q Yes
q No
youtube.com
webkinz.com
q Yes
q No
[62]
wikipedia.org
E13
[C-4]
turn the page
[66]
124372_Forward_MRI Kids Questionaire_short version 3/8/16 9:31 AM Page 26
movies
Since the start of school last fall, have you seen a movie at a
movie theater? (Pick one)
q Yes
q No
[71-1]
How do you find out about new movies you want to see?
(You can pick more than one)
q
q
q
q
q
q
q
q
q
q
q
q
q
My friends [72-1]
My family
Radio commercials [3]
Television commercials
TV shows that talk about movies [5]
Coming attractions or
previews at a movie theater
Online movie trailers or previews [7]
Social media
Magazine advertisements [9]
Newspaper advertisements
Billboard advertisements [73-1]
Other (write in: _______________________ )
I do not go to the movies [3]
(Go to the COMIC BOOKS
section on the next page)
After you see a movie, who do you tell about it?
(You can pick more than one)
q
q
q
q
G14
[C-6]
My friends [74-1]
My family
Other [3] (write in: _______________________ )
I don’t usually talk about movies
turn the page
124372_Forward_MRI Kids Questionaire_short version 3/8/16 9:31 AM Page 27
movies
What type of movies do you go to?
(You can pick more than one)
q
q
q
q
q
q
q
q
q
q
Action or adventure movies [75-1]
Funny movies
Real stories about people or animals [3]
Sad or serious movies
Movies about children and families [5]
Scary movies
Movies about love [7]
Movies about space, robots or science
Movies with music and dancing [9]
Other
Who do you go to the movies with? (You can pick more than one)
q
q
q
q
q
q
q
q
q
q
Mom [76-1]
Dad
Another adult [3]
Older brother
Younger brother [5]
Older sister
Younger sister [7]
Friends
By myself [9]
Someone else
comic books
Have you read or looked through a comic book in
the last month (last 30 days)?
q Yes
q No
[77-1]
(Turn 2 pages to the RADIO section)
Turn the page for more questions about COMIC BOOKS.
G15
[C-6]
turn the page
124372_Forward_MRI Kids Questionaire_short version 3/8/16 9:31 AM Page 28
Have you read or looked through any of
these comic books in the LAST MONTH
(last 30 days)? (Put an X in the box)
Read or Looked
through in
Last Month?
q
q
Yes
No
[12]
Amazing Spider-Man
Yes
No
q
q
Yes
No
q
q
Yes
No
q
q
Yes
No
q
q
Yes
No
q
q
Yes
No
q
q
Yes
No
[18]
Spider-Gwen
Captain America
q
q
Yes
No
Teen Titans Go!
Guardians of the Galaxy
q
q
Yes
No
Looney Tunes (Bugs Bunny,
Wile E. Coyote, Sylvester the Cat)
The Totally Awesome Hulk
q
q
[C-5]
Yes
No
Scooby-Doo, Where Are You?
Batman ’66
H16
q
q
Scooby-Doo Team up
q
q
NOVA
Read or Looked
through in
Last Month?
Yes
No
[17]
Uncanny Avengers
turn the page
[23]
124372_Forward_MRI Kids Questionaire_short version 3/8/16 9:31 AM Page 29
radio
How often do you usually listen to the radio? (Pick one)
q
q
q
q
q
Every day [29-1]
3 to 6 days a week
1 to 2 days a week [3]
Less than once a week
I usually don’t listen to the radio [5]
Have you listened to Radio Disney in the last week (last 7 days)?
q Yes
q No
[30-1]
music
What do you use to listen to music? (You can pick more than one)
q
q
q
q
q
q
q
q
q
q
q
J17
[C-5]
CD Player [31-1]
MP3 Player (like iPod)
Cell Phone [3]
Car Radio
Radio (like the one in your house or that you carry) [5]
Computer using Internet
Computer using CDs [7]
Tablet
TV (like music videos or radio on TV) [9]
Other (write in: _______________________ )
I do not listen to music [X]
turn the page
124372_Forward_MRI Kids Questionaire_short version 3/8/16 9:31 AM Page 30
music
How do you find out about new music?
(You can pick more than one)
q
q
q
q
q
q
q
q
q
My friends [32-1]
My family
Social media (like Instagram or Facebook) [3]
Other websites or apps
TV [5]
Radio
Magazines [7]
Other (write in: _______________________ )
I don’t usually find out about new music [9]
After you hear new music, who do you tell about it?
(You can pick more than one)
q
q
q
q
My friends [33-1]
My family
Other [3] (write in: _______________________ )
I don’t usually talk about new music
video, computer,
cell & online games
J18
[C-5]
Have you played any video games, computer games, cell phone
games or online games in the last month (last 30 days)? (Pick one)
q Yes
q No
[34-1]
(Turn 4 pages to the THINGS YOU HAVE section)
Which of the following did you use to play these games in
the last month (last 30 days)? (You can pick more than one)
q
q
q
q
q
q
q
q
q
Video game system (like PlayStation, Xbox or Nintendo Wii) [35-1]
Handheld (like PSP or Nintendo DS)
Internet (Online games) [3]
Computer using a CD
Computer CD and the Internet together [5]
Cell phone
MP3 player (like iPod touch) [7]
Tablet (like Apple iPad)
Other (write in: ___________________ ) [9] turn the page
124372_Forward_MRI Kids Questionaire_short version 3/8/16 9:31 AM Page 31
video, computer,
cell & online games
How often do you usually play these games? (Pick one)
q
q
q
q
Every day [36-1]
3 to 6 days a week
1 to 2 days a week [3]
Less than once a week
When do you usually play video games on a typical school day or
week day (Monday through Friday)? (You can pick more than one)
q Before school
q After school and before dinner
q After dinner
[37-1]
[3]
How much time do you spend playing video games on a typical
school day or week day (Monday through Friday)? (Pick one)
q
q
q
q
q
Less than 1/2 hour [38-1]
1/2 hour to less than 1 hour
1 hour to less than 2 hours [3]
2 hours to less than 5 hours
5 hours or more [5]
When do you usually play video games on a typical weekend day
(Saturday or Sunday)? (You can pick more than one)
q
q
q
q
Morning [39-1]
Afternoon
Evening, before dinner [3]
After dinner
How much time do you spend playing video games on a typical
weekend day (Saturday or Sunday)? (Pick one)
q
q
q
q
q
J19
[C-5]
Less than 1/2 hour [40-1]
1/2 hour to less than 1 hour
1 hour to less than 2 hours [3]
2 hours to less than 5 hours
5 hours or more [5]
turn the page
124372_Forward_MRI Kids Questionaire_short version 3/8/16 9:31 AM Page 32
video, computer,
cell & online games
What types of video games, computer games, cell phone games
or online games do you play? (You can pick more than one)
q Action/adventure [41-1]
q Puzzle/Strategy [X]
q Card/Board games
q Racing
q Creative (like Minecraft) [3]
q Role-playing/
q Educational
Fantasy [42-1]
q Exercise/Fitness (like Wii Fit) [5] q Shooter
q Simulation [3]
q Extreme Sports
(like driving, flying)
q Fighting [7]
q Sports
q Games with toys
q War [5]
(like Skylanders)
q Word
q Music/Dance [9]
q Other (write in: _______________________ )
What video game systems or handhelds do you or your family
have at home? (You can pick more than one)
q
q
q
q
q
q
q
q
q
q
q
Game Boy/Game Boy
q
Advance [43-1]
q
Leapster
q
Nintendo DS/DS Lite [3]
q
Nintendo DSi
q
Nintendo DSi XL [5]
q
Nintendo 2DS
q
Nintendo 3DS [7]
q
Nintendo 3DS XL
q
Other [9] (write in: _________ ) q
None [X]
q
Nintendo Wii [44-1]
Nintendo Wii U
Nintendo Wii Mini [3]
PlayStation 2 (PS2)
PlayStation 3 (PS3) [5]
PlayStation 4 (PS4)
Sony PSP/PSPgo [7]
Sony PS Vita
Xbox [9]
Xbox 360
Xbox One [X]
What video game accessories do you or your family have
at home? (You can pick more than one)
J20
[C-5]
q
q
q
q
q
PlayStation Move [45-1]
Wii Balance Board
Xbox Kinect [3]
Virtual Reality Headset
Other [5] (write in: _______________________ )
turn the page
124372_Forward_MRI Kids Questionaire_short version 3/8/16 9:31 AM Page 33
video, computer,
cell & online games
Who do you play video games with?
(You can pick more than one)
q
q
q
q
q
q
q
q
q
q
Mom [46-1]
Dad
Another adult [3]
Older brother
Younger brother [5]
Older sister
Younger sister [7]
Friends
By myself [9]
Someone else
Where do you and your family usually buy video games or
computer games? (You can pick more than one)
q
q
q
q
q
q
q
q
q
q
Toy Stores (like Toys“R”Us) [47-1]
Large Stores (like Target or Walmart)
Electronic Stores (like Best Buy) [3]
Gaming Stores (like GameStop)
Video Kiosk (like Redbox) [5]
Video Stores
Online (like Amazon.com or Ebay.com) [7]
Through a video game system
(like Xbox Live or PlayStation Network)
Other (write in: _______________________ ) [9]
We do not buy video games or computer games
What are the ratings of the video or computer games that
you play? (You can pick more than one)
J21
[C-5]
q
q
q
q
q
q
q
q
EC (Early Childhood) [48-1]
E (Everyone)
E 10+ (Everyone 10 and older) [3]
T (Teen)
M (Mature 17+) [5]
Other (write in: _______________________ )
None of these [7]
I don't know / I'm not sure
turn the page
124372_Forward_MRI Kids Questionaire_short version 3/8/16 9:31 AM Page 34
video, computer,
cell & online games
How do you find out about new video games?
(You can pick more than one)
q
q
q
q
q
q
q
q
q
q
My friends [49-1]
My family
Social media (like Instagram or Facebook) [3]
Other websites or apps
TV [5]
Radio
Magazines [7]
At the store
Other [9] (write in: _______________________ )
I don't usually find out about new video games
After you play new video games, who do you tell about it?
(You can pick more than one)
q
q
q
q
My friends [50-1]
My family
Other [3] (write in: _______________________ )
I don't usually talk about new video games
Which of these things do you have in your bedroom?
(You can pick more than one)
q
q
q
q
q
CD player [51-1]
DVD player
Computer [3]
Internet access
Radio [5]
q
q
q
q
Color Printer
Video game system [7]
TV
None of these things [9]
Which of these things do you have? (You can pick more than one)
q
q
q
q
J22 q
[C-5]
Film camera [52-1]
Digital camera
Digital video camera [3]
iPod touch
None of these things [5]
turn the page
124372_Forward_MRI Kids Questionaire_short version 3/8/16 9:31 AM Page 35
things
you have
Do you have your own cell phone? (Pick one)
q Yes
q No
[53-1]
Does anyone else in your family have a cell phone that you use?
(Pick one)
q Yes
q No
[54-1]
If you have or use a cell phone, what do you use the cell phone
for? (You can pick more than one)
q
q
q
q
q
q
q
q
q
q
q
q
J23
[C-5]
Call my parents [55-1]
Call friends
Call other people [3]
Text message parents
Text message friends [5]
Text message other people
Chat or IM [7]
Go online/Internet
Visit or use social media [9]
Download ringtones
Emergencies [X]
Picture messaging
q
q
q
q
q
q
q
q
q
q
q
q
Download games [56-1]
Play games
Download music [3]
Listen to music
Listen to podcasts [5]
Take pictures
Take videos [7]
Video calling
Download video [9]
Watch streaming video
Download apps [X]
Other
turn the page
124372_Forward_MRI Kids Questionaire_short version 3/8/16 9:31 AM Page 36
things
you have
If you DO NOT have your own
cell phone or DO NOT use any
cell phone, Go to Question 8
What other things do you do on either your own or your family’s
cell phone? (You can pick more than one)
q
q
q
q
q
q
q
q
q
Get information about entertainment or celebrities [57-1]
Get information about the news
Get information about sports [3]
Get information about the weather
Get information about science or math [5]
Listen to podcasts
Read books [7]
Use photography sites or apps
Use social media sites or apps (like Instagram or Facebook) [9]
q
q
q
q
Every day [58-1]
3 to 6 days a week
1 to 2 days a week [3]
Less than once a week
How often do you usually use a cell phone? (Pick one)
Do you have an iPod or other MP3 player?
(You can pick more than one)
q Yes, I have an iPod
q Yes, I have a different kind of MP3 player
q No
(Go to Question 10)
[59-1]
[3]
What do you use your iPod or other MP3 player for?
(You can pick more than one)
q
q
q
q
q
q
J24
[C-5]
Listen to music [60-1]
Watch movies
Watch TV shows [3]
Play games
Store photos [5]
Listen to podcasts
turn the page
124372_Forward_MRI Kids Questionaire_short version 3/8/16 9:31 AM Page 37
things
you have
Do you or does anyone else in your family have a tablet, like the
Apple iPad or an e-reader, like the Amazon Kindle that you use?
(You can pick more than one)
q Yes, I have my own tablet or e-reader
q Yes, someone in my family has a tablet or e-reader
[61-1]
q
that I use
No
(Go to the next page) [3]
Which of these tablets or e-readers do you use?
(You can pick more than one)
q
q
q
q
q
q
q
q
q
q
q
Amazon Kindle (e-reader) [62-1]
Amazon Kindle Fire (tablet)
Apple iPad [3]
Barnes & Noble Nook (e-reader)
Barnes & Noble Nook Color or Tablet [5]
InnoTab 2
LeapPad [7]
nabi 2
Samsung Galaxy Tab/Galaxy Note (tablet) [9]
Other Tablet
Other E-Reader [X]
What do you use the tablet or e-reader for?
(You can pick more than one)
q
q
q
q
q
q
q
q
q
q
J25
[C-5]
Read books [63-1]
Read magazines
Watch movies [3]
Watch TV shows
Watch other videos [5]
Play games
Listen to music [7]
Go online/Internet
Social media (like Instagram or Facebook) [9]
Something else
turn the page
124372_Forward_MRI Kids Questionaire_short version 3/8/16 9:31 AM Page 38
thoughts
and feelings
Thinking about yourself, which of the
following statements do you completely
agree with?
I COMPLETELY AGREE that:
(You can pick more than one)
q
q
q
q
q
q
q
q
q
q
q
J26
[C-5]
I would rather play video games than watch TV. [64-1]
I am usually the first one of my friends to play new video games.
I would rather play outside than watch TV. [3]
One of my favorite things is spending time on the computer.
I would rather watch TV than go on the computer. [5]
I usually go to movies when they first come out.
I would rather watch TV than play video games. [7]
I know all the new songs before my friends do.
I think computers are boring. [9]
One of my favorite things is reading books for fun.
I would rather watch TV than play with toys. [X]
turn the page
117302_Tabs_MRI Kids Questionaire_short version 2/25/15 10:32 AM Page 4
products
124372_Forward_MRI Kids Questionaire_short version 3/8/16 9:31 AM Page 40
breakfast
What do you usually eat for breakfast?
(You can pick more than one)
q
q
q
q
q
q
q
q
q
q
q
q
q
q
Cereal (like Cheerios or Rice Krispies) [12-1]
Hot cereal (like oatmeal)
Breakfast bar (like cereal bars or Nutri-Grain) [3]
Eggs
Bacon/Sausage [5]
Yogurt/Yogurt drinks
Toaster foods (like Pop-Tarts) [7]
Pancakes/Waffles
Fruit [9]
Breakfast drinks
Donuts/pastries [X]
Bagels
Other [13-1] (write in: _______________________ )
I don’t usually eat breakfast
(Turn the page)
How often do you get or make your own breakfast? (Pick one)
q
q
q
q
All of the time [14-1]
Sometimes
Hardly ever [3]
Never
Where do you usually eat breakfast on school days?
(You can pick more than one)
q
q
q
q
q
q
P27
[C-6]
At home [15-1]
At school
On the way to school [3]
At a restaurant or fast food place (like McDonald’s)
Someplace else [5]
I don’t usually eat breakfast on school days
turn the page
124372_Forward_MRI Kids Questionaire_short version 3/8/16 9:31 AM Page 41
nutrition
The following statements are about
FOODS, SNACKS, AND DRINKS. Put
an X next to ALL of the statements
that YOU COMPLETELY AGREE WITH.
I COMPLETELY AGREE that:
(You can pick more than one)
q
q
q
q
q
q
q
q
q
q
q
q
q
q
q
q
q
P28
[C-6]
I try not to eat foods with lots of sugar. [16-1]
I try not to eat fattening foods.
The taste of food is really important to me. [3]
I learn about nutrition in school.
My parents teach me about nutrition. [5]
I don’t know much about nutrition.
I usually read the nutrition labels on food and beverages. [7]
I eat whatever I want.
I try to eat breakfast every day. [9]
I enjoy trying different types of foods.
I often feel I eat too much. [X]
I love to eat in restaurants.
I would rather eat fast food than a home-cooked meal. [17-1]
I use the microwave to heat up foods
(without help from an adult.)
I eat dinner with my family almost every night. [3]
I feel too old to order a kid’s meal.
The most important thing about a kid’s meal is the toy. [5]
turn the page
124372_Forward_MRI Kids Questionaire_short version 3/8/16 9:31 AM Page 42
drinks
What do you usually drink during the week?
(You can pick more than one)
q
q
q
q
q
q
q
q
q
q
q
q
q
q
q
Flavored bottled water [18-1]
Bottled water
Water [3]
Juice Drinks
Sports Drinks (like Gatorade) [5]
Soda/Pop
Flavored milk (like chocolate milk) [7]
Regular milk
Soy or rice milk [9]
Powdered drinks (like Kool-Aid)
Hot Chocolate [X]
Iced Tea
Smoothie [19-1]
Shakes (like breakfast shakes)
Other [3] (write in: _______________________ )
cereals
What cereals do you usually have during the week?
(You can pick more than one)
P29
[C-6]
q
q
q
q
q
q
q
q
q
q
q
q
q
q
q
Apple Jacks [20-1]
Cap’n Crunch (any kind)
Cheerios (any kind) [3]
Cinnamon Toast Crunch
Cocoa Puffs [5]
Cookie Crisp
Corn Flakes [7]
Corn Pops
Froot Loops [9]
Frosted Flakes
Frosted Mini-Wheats (any kind) [X]
Lucky Charms
Rice Krispies (any kind) [21-1]
Other (write in:________________)
I don’t usually eat cereal [3]
turn the page
124372_Forward_MRI Kids Questionaire_short version 3/8/16 9:31 AM Page 43
snacks
When during the day do you usually have snacks?
(You can pick more than one)
q
q
q
q
q
q
Before lunchtime [22-1]
During lunch
Afterschool/afternoon but before dinner [3]
After dinner/before bedtime (like a dessert snack)
Other [5] (write in: _______________________ )
I don’t usually eat snacks
(Turn the page)
What do you usually have for snacks during the week?
(You can pick more than one)
q Candy
q Cookies
q Cereal bars
[23-1]
[X]
q Cheese
q Crackers & cheese/peanut butter
(like Nutri-Grain, Rice Krispies Treats)
q Fruit/Vegetables
q Fruit snacks
(in a package)
q Ice cream
q Pizza/bagel bites
q Salty snacks
[5]
q Popcorn
q Granola bars
q Gum
(like Gushers, Fruit Roll-Ups)
[9]
[3]
q Snack cakes
(like chips, pretzels)
q Toaster pastries
(like Twinkies or cupcakes)
q Hot sandwiches
(like Pop-Tarts)
[7]
q Yogurt
q Other
[3]
(like Hot Pockets)
[5]
P30
[C-6]
[24-1]
turn the page
124372_Forward_MRI Kids Questionaire_short version 3/8/16 9:31 AM Page 44
fast food
Did you go to a fast food restaurant (like McDonald’s, Taco Bell,
or another) in the last month (last 30 days)? (Pick one)
q Yes
q No
[25-1]
(Turn to the next page)
How often do you usually go to fast food restaurants? (Pick one)
q
q
q
q
Every day [26-1]
3 to 6 days a week
1 to 2 days a week [3]
Less than once a week
What fast food restaurants did you go to in the last month
(last 30 days)? (You can pick more than one)
q
q
q
q
q
q
q
q
q
q
q
Arby’s [27-1]
q Little Caesars
Baskin-Robbins
q McDonald’s [28-1]
[
]
Burger King 3
q Papa John’s
Chick-Fil-A
q Pizza Hut [3]
Chuck E. Cheese [5]
q Sonic Drive-In
Dairy Queen
q Starbucks [5]
[
]
Domino’s Pizza 7
q Subway
Dunkin’ Donuts
q Taco Bell [7]
Jack in the Box [9]
q Wendy’s
KFC
Other [X] (write in: _______________________ )
What meals did you get at a fast food restaurant in the
last month (last 30 days)? (You can pick more than one)
q
q
q
q
Breakfast [29-1]
Lunch
Dinner [3]
Snack
How often do you get a kid's meal when you go to a fast food
restaurant? (Pick one)
P31
[C-6]
q
q
q
q
Every time [30-1]
Sometimes
Hardly Ever [3]
Never
turn the page
124372_Forward_MRI Kids Questionaire_short version 3/8/16 9:31 AM Page 45
family-style
restaurants
Did you go to a family-style restaurant (like Applebee’s or
Red Lobster) in the last month (last 30 days)? (Pick one)
q Yes
q No
[31-1]
(Turn to the next page)
How often do you usually go to family-style restaurants?
(Pick one)
q
q
q
q
Every day [32-1]
3 to 6 days a week
1 to 2 days a week [3]
Less than once a week
What family-style restaurants did you go to in the
last month (last 30 days)? (You can pick more than one)
q Applebee’s
q Buffalo Wild Wings
q The Cheesecake
[33-1]
q
q
q
q
q
q
q
q
q
q
q
q
q
q
q
q
Old Country/Hometown Buffet [34-1]
Olive Garden
Outback Steakhouse [3]
Red Lobster
Red Robin [5]
Ruby Tuesday
Texas Roadhouse [7]
T.G.I. Friday’s
Factory [3]
Chili’s Grill & Bar
CiCi’s Pizza [5]
Cracker Barrel
Denny’s [7]
Friendly’s
Golden Corral [9]
IHOP (International House of Pancakes)
Other (write in: _______________________ ) [X]
What meals did you get at a family-style restaurant in the
last month (last 30 days)? (You can pick more than one)
q
q
q
q
P32
[C-6]
Breakfast [35-1]
Lunch
Dinner [3]
Snack
turn the page
124372_Forward_MRI Kids Questionaire_short version 3/8/16 9:31 AM Page 46
sneakers
Which of these sneakers do you wear? (You can pick more than one)
q
q
q
q
q
q
q
Adidas [36-1]
q Puma
Airwalk
q Reebok [9]
Converse [3]
q Skechers
Heelys
q Stride Rite [X]
New Balance [5]
q Vans
Nike
Other [7] (write in: _______________________ )
toys
Which of these things do you play with? (You can pick more than one)
P33
[C-6]
q
q
q
q
q
q
q
q
q
q
q
q
q
q
q
q
q
q
q
q
q
q
Arts & crafts/activity kit [37-1]
Bike/Scooter
Board games [3]
Building/construction toys (like Legos or K’Nex)
Card Games (like Uno) [5]
Clay/Play-Doh
Crayons/color markers [7]
Doll Accessories (like Doll clothes)
Drawing toys (like Magna Doodle) [9]
Electric Toys or Games
Foam shooting toys (like Nerf) [X]
Kitchen/Cooking (like Easy-Bake Oven)
Mini cars/trucks/planes (like Hot Wheels or Matchbox) [38-1]
Puzzles/Brain Teasers
Remote control cars/trucks/planes (like Land Sea RC) [3]
Robots
Science Kits [5]
Skateboards
Sports equipment (like a soccer ball or baseball glove) [7]
Stuffed Animals/Plushies (like Build-A-Bear or Care Bears)
Trading Cards (like Yu-Gi-Oh!, Pokémon or Baseball) [9]
None of these things
turn the page
124372_Forward_MRI Kids Questionaire_short version 3/8/16 9:31 AM Page 47
dolls
Which dolls do you own? (You can pick more than one)
q
q
q
q
q
q
q
q
q
q
q
q
q
q
American Girl [39-1]
q Hello Kitty [3]
Angry Birds
q High School Musical
Bitty Baby [3]
q Lalaloopsy [5]
Baby Alive
q Little Mommy Doll
Barbie and Friends [5]
q Minions [7]
Bratz
q Monster High
Dora the Explorer [7]
q Polly Pocket [9]
Furby
q Strawberry Shortcake
Lil’Bratz [9]
q Webkinz [X]
Cabbage Patch Kids
q Winx Club
Disney Princess [X]
q Zhu Zhu Pets [41-1]
Hannah Montana
Other [40-1] (write in: _______________________ )
I don’t own a doll
action figures
Which action figures do you own? (You can pick more than one)
q
q
q
q
q
P34
[C-6]
q
q
q
q
q
q
q
q
q
Bakugan [42-1]
q Phineas and Ferb [3]
Batman
q Pokémon
Ben 10 [3]
q Power Rangers [5]
Beyblade
q Rescue Heroes
Buzz Lightyear or
q Skylanders [7]
other Toy Story figure [5] q Spider-Man
G.I. Joes
q Star Wars [9]
Green Lantern [7]
q Superman
Harry Potter
q Teenage Mutant
Hulk [9]
Ninja Turtles [X]
Iron Man
q Transformers
Lego Action Figures [X] q WWE [44-1]
Justice League
q X-Men
Other [43-1] (write in: _______________________ )
I don't own an action figure
turn the page
117302_Tabs_MRI Kids Questionaire_short version 2/25/15 10:32 AM Page 5
lifestyle
124372_Forward_MRI Kids Questionaire_short version 3/8/16 9:31 AM Page 49
school
What is your favorite subject in school? (Pick one)
q
q
q
q
q
Art [12-1]
q Social Studies
Music
q Writing/English [7]
Math [3]
q Reading
Science
Other [5] (write in: _______________________ )
What do you usually do for lunch at school? (Pick one)
q
q
q
q
I usually bring my own lunch [13-1]
I usually eat a school lunch
I usually do not eat lunch at school [3]
Other (write in: _______________________ )
hobbies/activities
What are your favorite hobbies or things to do?
(You can pick more than one)
L35
[C-7]
q
q
q
q
q
q
q
q
q
q
q
q
q
q
q
q
q
q
q
Play sports on a team [14-1]
Play other sports
Watch TV [3]
Watch videos
Make videos [5]
Do arts & crafts
Read books, magazines or comics [7]
Play video games
Use the computer [9]
Play with toys
Hang out with friends [X]
Do homework/study
Play with my pets [15-1]
Take lessons (like music, dance or language)
Listen to music [3]
Go to concerts
Go to sports events [5]
Coding or programming
Other [7] (write in: ____________________ ) turn the page
124372_Forward_MRI Kids Questionaire_short version 3/8/16 9:31 AM Page 50
sports
Did you play a sport in the last year (last 12 months)? (Pick one)
q Yes
q No
[16-1]
(Turn to the next page)
Which of these sports did you do, at anytime, in the last year
(last 12 months)? (You can pick more than one)
q Baseball
q Basketball
q Bike riding/
[17-1]
q
q
q
q
q
q
q
q
q
q Karate
q Rollerblading/
[18-1]
Dirt bike riding [3]
q
Bowling
q
Cheerleading [5]
q
Dancing
q
Fishing [7]
q
Football
q
Gymnastics [9]
q
Ice skating/Ice hockey
q
Jogging/running [X]
Other (write in: _______________________ )
Roller Skating
Skateboarding [3]
Skiing/Snowboarding
Soccer [5]
Softball
Swimming/Diving [7]
Tennis
Volleyball [9]
Walking for exercise
Why do you play sports? (You can pick more than one)
q
q
q
q
q
q
q
q
q
q
L36
[C-7]
They are fun to play [19-1]
To keep in shape/It’s good for me
To be with my friends [3]
I am good at sports
Keeps me from getting bored [5]
My parents want me to
To compete against other kids [7]
Because I have to
Other [9] (write in: _______________________ )
I don’t know
turn the page
124372_Forward_MRI Kids Questionaire_short version 3/8/16 9:31 AM Page 51
thoughts
and feelings
Thinking about yourself, which of the
following statements do you completely
agree with?
I COMPLETELY AGREE that:
(You can pick more than one)
L37
[C-7]
q
q
q
q
q
q
q
q
q
q
q
q
q
q
q
q
q
q
q
q
q
q
q
q
q
I worry about school tests. [20-1]
I am happy being my age.
I wish I were older so I could do more. [3]
Religion is important to me.
I want to go to college. [5]
I wish I had more free time.
I want to make a lot of money when I am older. [7]
I often do things to help other people.
I feel stressed out a lot of the time. [9]
I am one of the first people to try new things.
The environment is important to me. [X]
I worry about what will happen in the future.
Advertising gives me ideas for things I want to buy. [21-1]
My family is an important part of my life.
My friends are an important part of my life. [3]
I don’t like the way I look.
Sometimes I worry so much I can’t sleep. [5]
Other kids my age look to me for what is cool.
Being “in style” is very important to me. [7]
I am happy with my weight.
I wish I could gain weight. [9]
I wish I could lose weight.
I think it’s important to recycle. [X]
I will vote as soon as I’m old enough.
When I'm with my friends, I'm the one who decides what to do.
turn the page
[22-1]
124372_Forward_MRI Kids Questionaire_short version 3/8/16 9:31 AM Page 52
thoughts
and feelings
Still thinking about yourself, which of the
following statements do you completely agree
with?
I COMPLETELY AGREE that:
(You can pick more than one)
q
q
q
q
q
q
q
q
q
q
q
q
q
q
I like to spend time with my family. [23-1]
I think I'm a pretty normal kid.
I would like to be more sporty or athletic. [3]
I ask my parents to buy things I see on TV.
It's easy for me to make friends. [5]
I like spending time on my own.
I ask my parents for things my friends have. [7]
I ask my parents for things my brother or sister has.
I would like to be more popular. [9]
Getting good grades is important to me.
I ask my parents to buy things that are good for
the environment. [X]
I would like to be less shy.
I care about what my brother or sister thinks is cool. [24-1]
Do you think you are...? (You can pick more than one)
L38
[C-7]
q
q
q
q
q
q
q
q
q
q
Creative [25-1]
q Loud [X]
Funny
q Friendly
Active [3]
q Sporty or Athletic [26-1]
Smart
q Shy
Curious [5]
q Happy [3]
Popular
q Brave
Quiet [7]
q Healthy [5]
Cool
Other [9] (write in: _______________________ )
None of these
turn the page
124372_Forward_MRI Kids Questionaire_short version 3/8/16 9:31 AM Page 53
advertising
People can see or hear advertising in different places. Which of
these advertisements do you like seeing or hearing?
(You can pick more than one)
I REALLY LIKE Seeing/Hearing:
q Commercials on TV [27-1]
q Ads on the radio
q Ads on the Internet [3]
q Ads in video games
q Ads before movies (at a movie theater) [5]
q Ads in newspapers
q Ads on cell phone [7]
q Other (write in:_______________________)
q I don't like seeing or hearing advertisements [9]
What things do you really like to see or hear in advertising?
(You can pick more than one)
I REALLY LIKE to See/Hear in Advertising:
q Something that surprises me [28-1]
q Funny things (like a funny animal or character)
q Kids my age [3]
q Famous people I like
q Music [5]
q Sarcastic humor that makes fun of things
q Silly humor [7]
q Tricks played on people
q Colorful images [9]
q Action and excitement
q Learn more about a new product [X]
q Other (write in: _______________________ )
Have you ever visited a website that you saw or heard about
in a commercial or advertisement? (Pick one)
q Yes
q No
q Not Sure
[29-1]
L39
[C-7]
[3]
turn the page
124372_Forward_MRI Kids Questionaire_short version 3/8/16 9:31 AM Page 54
advertising
What do you usually do when TV commercials come on?
(You can pick more than one)
q
q
q
q
q
q
q
q
q
Watch the commercials [30-1]
Flip or surf the channels
Fast forward commericals using a DVR (like TiVo) [3]
Change the channel to watch another show
Do other things like go online or do homework [5]
Go away from the TV (like to get a snack or go to the bathroom)
Look at or use a cell phone [7]
Other (write in: _______________________ )
I don’t know [9]
While watching TV, what else do you usually do?
(You can pick more than one)
q
q
q
q
q
q
q
q
q
q
q
q
Listen to the radio [31-1]
Read magazines
Read books/comic books [3]
Go online
Use social media (like Instagram or Facebook) [5]
Do homework
Play video or computer games [7]
Talk on the phone
Send text messages [9]
Eat
Other [X] (write in: _______________________ )
I don’t usually do anything else
money
How do you get money that you spend?
(You can pick more than one)
L40
[C-7]
q
q
q
q
q
q
q
q
Allowance [32-1]
Job (like babysitting or a newspaper route)
Gift Card [3]
Other gift (like birthday money)
Doing chores or helping out at home [5]
Get money to buy school breakfast or school lunch
Other [7] (write in: _______________________ )
I do not get spending money
turn the page
124372_Forward_MRI Kids Questionaire_short version 3/8/16 9:31 AM Page 55
money
Which of the following things did you buy with your own money
in the last month (last 30 days)? (You can pick more than one)
q Candy, gum or snacks
q School lunch or
q
q
q
q
[33-1]
q
q
q
q
q
q
q
q
q
Buy DVDs
Buy video games [34-1]
Rent a video game
iPod or MP3 Songs [3]
Books
Comics or magazines [5]
Toys or board games
Sports equipment [7]
Trading cards
q
q
q
q
q
school breakfast
Drinks [3]
Clothes
Sneakers [5]
Jewelry or
fashion accessories
Food [7]
Make-up (like lip gloss)
Rent a movie [9]
Other (write in: _______________________ )
I didn’t buy anything with my own money [X]
q
q
q
q
q
q
None [35-1]
$1 to $4
$5 to $9 [3]
$10 to $14
$15 to $19 [5]
$20 or more
q
q
q
Yes [36-1]
No
I don’t know/I am not sure [3]
How much spending money do you get a week? (Pick one)
Do you have your own savings account at a bank?
L41
[C-7]
turn the page
124372_Forward_MRI Kids Questionaire_short version 3/8/16 9:31 AM Page 56
thoughts
and feelings
Thinking about yourself, which of the
following statements do you completely
agree with?
I COMPLETELY AGREE that:
(You can pick more than one)
q I try hard to save money — I’m careful about how I
spend it. [37-1]
q I should be able to buy anything I want.
q I get money from my parents on a regular basis to spend
as I choose. [3]
q My parents buy most everything I ask for.
q I usually decide what to spend my money on.
L42
[C-7]
[5]
turn the page
124372_Forward_MRI Kids Questionaire_short version 3/8/16 9:31 AM Page 57
decision making
How do your parents know what foods you like?
(You can pick more than one)
q
q
q
q
They just know [38-1]
I pick it out in the store
I tell them [3]
They like the same food
q I put it on the shopping list
q They ask me
q I don’t know
[5]
[7]
Who usually decides what goes into the shopping cart when
your family shops for groceries? (Pick one)
q I decide
q My parents decide
[39-1]
q We decide together
[3]
Who usually decides what video games you get? (Pick one)
q I decide
q My parents decide
[40-1]
q We decide together
q My family does not do this
[3]
Who usually decides what apps you get? (Pick one)
q I decide
q My parents decide
[41-1]
q We decide together
q My family does not do this
[3]
Who usually decides what movies you go to? (Pick one)
q I decide
q My parents decide
[42-1]
q We decide together
q My family does not do this
[3]
Who usually decides what movies your family should rent or
watch at home? (Pick one)
q I decide
q My parents decide
[43-1]
q We decide together
q My family does not do this
[3]
Who usually decides what fast food restaurants your family goes to?
(Pick one)
q I decide
q My parents decide
[44-1]
L43
[C-7]
q We decide together
q My family does not do this
[3]
turn the page
124372_Forward_MRI Kids Questionaire_short version 3/8/16 9:31 AM Page 58
decision making
Who usually decides what other restaurants (not fast food) your
family goes to? (Pick one)
q I decide
q My parents decide
[45-1]
q We decide together
q My family does not do this
[3]
Who usually decides where your family goes on vacation? (Pick one)
q I decide
q My parents decide
[46-1]
q We decide together
q My family does not do this
[3]
Who usually decides what computer your family should buy? (Pick one)
q I decide
q My parents decide
[47-1]
q We decide together
q My family does not do this
[3]
Who usually decides what computer software your family
should buy? (Pick one)
q I decide
q My parents decide
[48-1]
q We decide together
q My family does not do this
[3]
Who usually decides what toys you get? (Pick one)
q I decide
q My parents decide
[49-1]
q We decide together
q My family does not do this
[3]
One last question...
Who worked on this booklet with you? (Pick one)
q
q
q
q
q
A grown-up worked on it with me [50-1]
My brother or sister worked on it with me
I worked on it with a friend [3]
I did it all by myself
Other [5] (write in: _______________________ )
Thank you for all of your answers!
Please turn the page, we now have
some questions for your parents.
L44
[C-7]
turn the page
124372_Forward_MRI Kids Questionaire_short version 3/8/16 9:31 AM Page 59
QUESTIONS for your
PARENTS
What race or races do you consider the child
who answered this questionnaire to be?
(Please select all that apply)
q
q
q
q
White [51-1]
Black/African American
Asian [3]
Other
Is the child who answered this questionnaire of
Spanish, Hispanic or Latino origin or descent?
q Yes
q No
L45
[C-7]
[52 -1]
turn the page
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