Arcade Name:

Arcade Location (circle one):

Airport    Hotel    Mall    Restaurant    Arcade    Recreation Center

Arcade Address:

Date:

Parent: Fill in the following information upon your visit to the arcade.

1. Are there ratings (large red, yellow and green circles) displayed on any games in the arcade?

yes    no

If yes, what percentage of the games in the arcades has a rating?

If no, what percentage of the games in the arcade do you think should be rated for adults only?

2. Is there an attendant or person watching over the arcade?

yes    no

If yes, do they enforce the ratings?  yes  no

3. Are there young children playing red rated games?

yes    no

If yes, what percentage of children in the arcade are playing the game?