Self Assesment form
Kindly fill out the following form by answering the questions to understand the correlation between news consumption and mental health.
Age:
Please Select
Under 18
18-25
25-35
35-40
50 And above
Email
*
example@example.com
1. How frequently do you find yourself sleeping late because you can't stop scrolling your phone?
Every Day
Most Days
Some Days
Once in a while
Never
2. How frequently do you find yourself delaying important tasks by spending time on your phone?
Every Day
Most Days
Some Days
Once in a while
Never
3. How frequently do you feel distracted by mobile notifications?
Every Day
Most Days
Some Days
Once in a while
Never
4. How frequently do you find yourself checking for likes, views, shares and comments after posting something online?
Every Day
Most Days
Some Days
Once in a while
Never
5. Have you ever felt that you spend much time online and you need to cut down?
Every Day
Most Days
Some Days
Once in a while
Never
6. How Frequently does social media posts make you feel that your past was better than today?
Every Day
Most Days
Some Days
Once in a while
Never
7. How frequently do you find yourself thinking about how are you being perceived online?
Every Day
Most Days
Some Days
Once in a while
Never
8. How often do you compare yourself to others after going through online content/social media.?
Every Day
Most Days
Some Days
Once in a while
Never
9. How frequently do you find yourself being uncomfortable if you are unable to access your social media?
Every Day
Most Days
Some Days
Once in a while
Never
10. How often do you get affected after consuming sensational content (eg: Loud Debates, emotionally charged videos)?
Every Day
Most Days
Some Days
Once in a while
Never
11. How often do you feel like you are wasting time after spending hours scrolling online content?
Every Day
Most Days
Some Days
Once in a while
Never
Back
Next
12. How often do you wake up thinking your day is going to be a really good day?
Every Day
Most Days
Some Days
Once in a while
Never
13. How frequently do you have good quality sleep?
Every Day
Most Days
Some Days
Once in a while
Never
14. How often do you lose focus from the thing that you are doing and get carried away by unrelated thoughts?
Every Day
Most Days
Some Days
Once in a while
Never
15. How often do you feel affected by consuming content shared through whatsapp forwards?
Every Day
Most Days
Some Days
Once in a while
Never
16. How frequently do you improve your mood / state of mind/ emotions by consuming content online?
Every Day
Most Days
Some Days
Once in a while
Never
17. How often do you feel some of the content that you read online is not authentic and credible?
Every Day
Most Days
Some Days
Once in a while
Never
18. How often do you watch Content like lifestyle and health tips, and self help content etc online?
Every Day
Most Days
Some Days
Once in a while
Never
19. How often do you go online to know new things happening around the world and learn new things?
Every Day
Most Days
Some Days
Once in a while
Never
20. How often do you read/watch entrepreneurial and success stories?
Every Day
Most Days
Some Days
Once in a while
Never
Total point is
Submit
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