1. Which of the following groups includes your age?
13 years old or less
14-17 years old
18-24
25-34
45-54
55-64
65-74
75 or older
Prefer not to answer

2. Are you . . .
Male
Female
Prefer not to answer

3. What level of education have you completed?
Some High School
High Shool Graduate
Some College - 2-yr. Degree
Some College - 4-yr. Degree
College Graduate 2-yr. Degree
College Graduate 4-yr. Degree
Post-Graduate Work
Post-Graduate Degree
Prefer not to answer

4. What is your occupation?
Senior Management
Other Management
Professional
Technical
Sales/Retail
Administrative
Other Employed
Homemaker/Full-time Parent
Student
Retired
Not Employed
Prefer not to Answer

5. In a typical week, about how much time do you spend using the Internet?
Less than 1 Hour
1-2 hours
3-5 hours
6-10 hours
11-20 hours
More than 20 hours

6. How do you find out about new WWW pages/sites? (Please check all that apply.)
Books
Friends
Follow hyperlinks from other Web pages
Internet search engines (e.g., Alta Vista, Lycos, etc.)
Internet directories (e.g., Yahoo, McKinley, etc.)
Usenet newsgroups
Online Forums/Discussion Boards
Magazines/newspapers
Signatures at end of email messages
Television advertisements
Other Sources

8. If you were looking for a group of professionals who specialize in the medicine and psychology, what words would you use to find them on the internet? Please write at least two

9 . Are you aware that Counseling Services are available on the internet?
Yes        No