FRIDAY FAX
JANUARY 21, 2000........................................... NO. 170 (2 of 2)

SURVEY FOR PARENTS

We Media, an organization that empowers persons with disabilities, their families and friends by being a conduit for education, knowledge, technology, entertainment, and numerous other services in an exciting, convenient, and accessible fashion, is conducting a survey to find out what specifically you and your child would like to have access to on the Internet. Fax the survey back to (212) 375 6266 or E-mail to tonian@wecorp.com. Thank you for your assistance.

1. How old is your child? ___________________________________________________

2. Where does your child access the Internet? Please Check: ____HOME ____SCHOOL ____OTHER:

3. What does your child use the Internet for?

4. What are your child's favorite Web sites and why?

5. Does your child talk to other kids on the Internet? YES, NO

Please make a "wish list" of what your child would like to see on a kids Web site:5 is the highest rating.

Please rate the following, from 1 to 5, as most important information for you as a PARENT to have access to on the Internet: 5 is the highest rating

• Advocacy Information/Awareness Issues ___5 ___4 ___3 ___2 ___1
• Chat Area for parents to communicate with one another ___5 ___4 ___3 ___2 ___1
• Event Calendar (events taking place in your local area) ___5 ___4 ___3 ___2 ___1
• General information and resources on disability. ___5 ___4 ___3 ___2 ___1
• Information on Non-Profit organizations. ___5 ___4 ___3 ___2 ___1
• Siblings- information and resources to help your children relate to their brother or sister who has a disability. ___5 ___4 ___3 ___2 ___1

OTHER: ____________________________________________________________________
____________________________________________________________________

Please rate the following, from 1 to 5, as most important information for your CHILD to have access to on a kids Web site. 5 is the highest rating:

• Access to educational software (e.g. homework help). ___5 ___4 ___3 ___2 ___1
• Activities (after school activity ideas from the Internet). ___5 ___4 ___3 ___2 ___1
• Games (interactive games for kids to play on the Internet). ___5 ___4 ___3 ___2 ___1
• Kids Chat- kids can talk to other kids through the Internet. ___5 ___4 ___3 ___2 ___1
• Mentor Section- adults with disabilities become a mentor to a child with the same disability through the Internet. ___5 ___4 ___3 ___2 ___1
• Penpal- your child can find a penpal through a kids Web site. ___5 ___4 ___3 ___2 ___1
• Story Section- your child can write or read a story. ___5 ___4 ___3 ___2 ___1
• "Express Your Feelings..." your child can write how he/she feels today and read what other kids have written too. ___5 ___4 ___3 ___2 ___1
• Toy Section-your child can view toys that he/she may be interested in having. ___5 ___4 ___3 ___2 ___1

ADDITIONAL COMMENTS: