Teen Social Media Study #1586

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This study is for your teen! It's a very engaging and fun discussion about social media. You are able to attend the discussion with your child if you wish.

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* 1. Name:

First name

Last name

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* 2. Address:

Street address

City

State

Zip code

Country

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* 3. Email

Email address

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* 4. Phone

Country Code

Phone number

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* 5. Gender:

Male

Female

Non-binary

Prefer to self describe (please specify)

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* 6. Age:

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* 7. Which of the following best describes the area where you live?

Urban - in a city

Suburban - in the area on the outskirts of a city

Rural - in an area well outside of a city, near farmland

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* 8. Are you the parent of any children ages 13-17 living in your household?

Yes