Digital Overwhelm Self-Assessment Form
Reflect on your digital habits and assess your level of digital overwhelm. Please answer each question honestly for the most accurate results.
How often do you feel overwhelmed by the number of digital notifications you receive?
*
Never
1
2
3
4
Always
5
1 is Never, 5 is Always
How frequently do you check your phone or digital devices throughout the day?
*
Rarely
1
2
3
4
Constantly
5
1 is Rarely, 5 is Constantly
Rate your ability to focus on a single task without digital distractions.
*
1
2
3
4
5
How often do you feel anxious or stressed when you are unable to check your digital devices?
*
Never
1
2
3
4
Very Often
5
1 is Never, 5 is Very Often
To what extent do you feel in control of your digital habits?
*
Not at all
1
2
3
4
Completely
5
1 is Not at all, 5 is Completely
How much does digital multitasking (using multiple devices/apps at once) impact your productivity?
*
No impact
1
2
3
4
Major impact
5
1 is No impact, 5 is Major impact
How often do you set boundaries for digital device use (e.g., scheduled offline time, app limits)?
*
Never
1
2
3
4
Always
5
1 is Never, 5 is Always
Please indicate how strongly you agree or disagree with the following statements:
*
Rows
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
I often feel mentally exhausted by my digital activities.
1
2
3
4
5
I find it difficult to disconnect from digital devices.
6
7
8
9
10
My digital habits interfere with my sleep or relaxation.
11
12
13
14
15
I feel pressure to respond quickly to digital messages.
16
17
18
19
20
On a scale of 1 to 5, how well do you feel you manage your digital wellbeing overall?
*
Very poorly
1
2
3
4
Very well
5
1 is Very poorly, 5 is Very well
Is there anything else you’d like to share about your digital habits or feelings of overwhelm?
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