Mobile Phone Impact on Students Questionnaire Form
Please share your honest experiences about how mobile phone use affects your study habits, attention, sleep, social life, and overall academic experience.
Full Name
*
First Name
Last Name
Grade Level
*
Please Select
Freshman
Sophomore
Junior
Senior
Other
How often do you use your mobile phone during study time?
*
Never
Rarely
Sometimes
Often
Always
How would you rate the impact of mobile phone use on your attention span during class or study sessions?
*
1
2
3
4
5
How does mobile phone use affect your sleep quality?
*
No effect
Slightly worsens
Moderately worsens
Significantly worsens
How much does mobile phone use affect your social interactions with classmates and friends?
*
No impact
1
2
3
4
Major impact
5
1 is No impact, 5 is Major impact
In what ways has mobile phone use influenced your academic performance?
What is your primary reason for using a mobile phone during school or study time?
*
Communication (calls/messages)
Social media
Entertainment (games/videos)
Research/homework
Other
Do you feel that mobile phone use should be limited during study or class time?
*
Yes
No
Not sure
Additional comments or suggestions
Submit
Should be Empty: