What's this?

Survey
on the students’ understanding of mobile phones and electromagnetic fields

We like you to help us by filling in the form below. Please put a tick in the appropriate box or fill in your answer in the space provided. This information will help us to prepare an educational website and other materials especially for school children to learn more about mobile phones and electromagnetic fields.

This survey has 20 questions in 3 pages. Please answer them to the best of your ability.

Note: Only children between the ages of 6 and 17 years old are allowed to take this survey.

If you have any questions, you may send an email to Professor Kwan-Hoong Ng from the Department of Biomedical Imaging, University of Malaya, Malaysia at ngkh@um.edu.my (Tel: +603 7950 2091, Fax: +603 7958 1973)

Section A. Personal background
1. Sex Male Female
2. Your age years
3. Which country do you live in?
4. Where do you live? Large city
Small town
Village

Others. Please specify
5. What is your present level of education?
6. Please tell us the highest education level reached by your father, mother and guardian (if relevant).
Father
Mother
Guardian (if relevant)

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University of Malaya, Malaysia
For any query or suggestion, please contact Professor Kwan-Hoong Ng at ngkh@um.edu.my