science project survey

[Jin Choi]

if any teens chance upon this before the date below, please fill it out and
send it in. thanx

Please fill out this form and return it to MQuik...@aol.com or
LilS...@aol.com with the heading "Science Expo" before May 14th. Thank you.

age group (pick one):
_ high school
_ middle school

country: __________
state (if in the US): ___

modem speed (pick one):
_ < 14.4
_ 14.4
_ 28.8
_ 33.6
_ 56.6
_ ISDN or higher

time spent online (pick one):
_ less than 1 hr/week
_ 1-3 hrs/week
_ 1 hr/day
_ 2 hrs/day
_ 3 or more hrs/day

favorite web-site type (rank 1 - 5, 1 being best, 5 being worst):
_ Music (i.e. Hanson Heaven, Nirvana, Celine Dion fan page, etc.)
_ Movies and TV (i.e. Titanic, Romeo and Juliet, ABC, etc.)
_ Shopping (i.e. AB-CD, Amazon, etc.)
_ Sports (i.e. Yankees, Sports Illustrated, etc.)
_ Other, please specify

sex:
_ female
_ male