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What is your gender?
 
Female
 
Male
 
 
 
What is your age?
 
6-11
 
12-17
 
 
 
What are your favorite Disney movies? (Select all that apply)
 
Snow White and the Seven Dwarfs
 
Cinderella
 
Alice in Wonderland
 
Peter Pan
 
Sleeping Beauty
 
One Hundred and One Dalmatians
 
The Little Mermaid
 
Beauty and the Beast
 
Aladdin
 
The Lion King
 
Pocahontas
 
Mulan
 
Tarzan
 
Tangled
 
Cars
 
Finding Nemo
 
The Nightmare Before Christmas
 
Wall-E
 
Up
 
Hercules
 
Lilo & Stitch
 
Bolt
 
The Princess and the Frog
 
Winnie the Pooh
 
A Bug's Life

 
 
 
How many hours a week do you watch TV?
 
One or less
 
Two to four
 
Five to seven
 
Seven or more
 
 
 
How many hours a week do you play video games?
 
One or less
 
Two to four
 
Five to seven
 
Seven or more
 
 
 
Do you watch the Disney Channel?
 
Yes
 
No
 
 
 
What game stations do you own?
 
Nintendo Wii
 
Xbox Kinect
 
Both
 
Neither
 
 
 
What Disney Channel shows do you watch? (Select all that apply)
 
Phineas and Ferb
 
Wizards of Waverly Place
 
The Suite Life Zack and Cody
 
None

 
 
 
Would you like to have a Disney adventure in your home?
 
Yes
 
No
 
Not sure
 
 
 
What Disney characters would you want to play as?
 
Bell
 
Mulan

 
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