Social Media Age Verification Survey Form
Please complete this survey to help us verify your eligibility for social media use. Your responses will be used solely for age and platform eligibility assessment.
What is your date of birth?
*
-
Month
-
Day
Year
Date
Are you at least 13 years old?
*
Yes
No
Which social media platforms do you currently use?
*
Instagram
Facebook
TikTok
Snapchat
X (formerly Twitter)
Other
How often do you use each platform?
*
Rows
Never
Rarely
Sometimes
Often
Daily
Instagram
1
2
3
4
5
Facebook
6
7
8
9
10
TikTok
11
12
13
14
15
Snapchat
16
17
18
19
20
X (formerly Twitter)
21
22
23
24
25
How did you first learn about social media platforms?
Family
Friends
School
Online ads
Other
Do you have parental or guardian permission to use social media?
Yes
No
Not sure
At what age did you first start using social media?
How confident are you in understanding the rules and safety guidelines of social media platforms?
1
2
3
4
5
Have you ever been asked to prove your age when signing up for a social media account?
Yes
No
If you wish, please share any comments or concerns about age verification on social media.
Submit Survey
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