Table 1.
Home Neighborhood Built Environment | |
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1. | What type of building is your home/your child's home? |
2. | Does your home/your child's home have a front yard? |
3. | Does your home/your child's home have a back yard? |
4. | Does your home/your child's home have a side yard? |
5. | Does your home/your child's home have a driveway? |
6. | Does the part of your/your child's street that you live on have sidewalks? |
7. | Do the streets connected to the street of your home/your child's home have sidewalks? |
8. | Do you rent or own your/your child's home? |
9. | Is your street/your child's street in a cul-de-sac or dead-end? |
Bedroom Electronic Presence | ||
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1. | Please indicate whether the following are currently or have been in your child's bedroom or the room in which he or she sleeps. | |
a. b. c. d. |
TV VCR or DVD player Computer Video game system (non-handheld) (Playstation, Xbox, etc.) |
|
a. b. c. d. |
Cell phone or 2-way radio Hand held videogame players (Game Boy, Sony PSP, etc.) Tablet (iPad, Kindle, etc.) Portable music players (radio, MP3 or iPod) |
|
2. | Does your child have the following for his/her own use? | |
a. b. c. d. |
Cell phone or 2-way radio Hand held videogame players (Game Boy, Sony PSP, etc.) Tablet (iPad, Kindle, etc.) Portable music players (radio, MP3 or iPod) |
|
Parental Rules | |
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1. | In your family, do you enforce doing homework before going outside? |
2. | In your family, do you enforce no television/DVD/computer before homework? |
3. | In your family, do you enforce maximum number of hours/day of television/DVD/computer? |