Table 1

Media history form: television focused questions^1-150

Does your child watch more than 1–2 hours of TV per day?	Frequently	Sometimes	Never
Do you watch TV with your child or know what your child is watching?	Frequently	Sometimes	Never
Do you discuss TV shows with your child?	Frequently	Sometimes	Never
Does your child have a TV in his or her room?	Yes		No
Do you limit your child's watching of TV shows that often contain violence, sex, foul or explicit language, or images of tobacco or alcohol use?	Frequently	Sometimes	Never
Do you have rules about when TV can be watched?	Yes		No
Do you allow your child to eat meals or snacks while watching TV?	Yes		No
Does your child ask you to buy products he or she sees advertised on TV?	Yes		No

↵1-150 For more information about the media history form or media education programmes at the American Academy of Pediatrics, please see the web site, www.aap.org and click on Media Matters.