Technology Usage Survey

Technology Usage Survey
Technology includes: TV, cell phones, tablets, desk top computers, laptop computers, video games, movies, cartoons, and music videos (not audio).
Technology Addiction: It includes all obsessive teach-related behavior which can be not being able to stop, excessive use, persistent thinking about technology, can’t put it down, needing more, and withdrawal when stop.
Date of Birth
MonthDayYear
Date
Approximately, in which age you started to use technology?
Age
Are you addicted any of these listed below:
Other social media
Do you participate any other activities apart from technology?
Other
Do you have any academic or work related problems?
Other
Please select if you suffer from any of the following mental health problems and developmental disorders?
Other
What kind of TV shows do you watch?
Other
Please select the one(s) you are actively using:
Other
Do you have a home-based business?
Other
Do you watch fast paced content such as screen changes every 1-2 seconds?
Other
When do you use technology mostly?
Other
Where do you use technology mostly?
Other
Why do you think you are using technology?
Other
Do your parents or partner
Other
How long do you use technology daily average?
Rows Hours
At home during the week
At home on weekend or holidays
At school/work
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Should be Empty:

Rows	Hours
At home during the week
At home on weekend or holidays
At school/work

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