Game Jam Form/Child Survey

Child Gamer Survey         (TO BE FILLED OUT BY PARENT)
The data gathered today is anonymous and will be shared with OLPC developers
so we can understand how to make better games for the laptop.
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Assigned Judge Number:  _________			
Age Range:	0-3		4-5		6-8		9-11		12-14
Gender:	Female	Male
My child uses computers in school:					Yes	No	
If  YES:  
In the classroom 						        Yes	No
In a computer lab 						        Yes	No
During free time						        Yes	No
 My child uses computers at home:					Yes	No
	If  YES:	
		Uses a shared family computer				Yes	No 
                Uses their own computer					Yes	No
		The computer is used for homework			Yes	No
		The computer is used for playing games			Yes	No
                The computer is used to search for information		Yes	No	
                The computer is used for chatting with friends		Yes	No

How old was your child when they first started using a computer?    0-4      5-8      9-12      13-16     16+

Have they programmed before? 						Yes	No
If so, what have they programmed?    ______________________________________________
My child plays console video games:					Yes	No
	If yes:             Nintendo	PlayStation	       Xbox	    Other:   ________________________
	If so, how often:
Daily:		1-2 hours 	3-5 hours 	6+ hours 
Weekly:	        1-2 times	3-5 times	6-10 times	11+ times
Monthly:	1-2 times	3-5 times	6-10 times	11+ times