Are You Addicted To Mobile Phones - Google Forms

30/03/2019 Are you Addicted to Mobile Phones?
Are you Addicted to Mobile Phones?

Answer all the questions honestly for true results. You'll be amazed by the questions.
* Required
1. Name *
2. Which category below includes your age ? *

Mark only one oval.
13-15
16-19
20-24
25-30
31-40
41 +
3. At what AGE did you start using a mobile

phone ? *
4. What is the most important reason for purchasing the mobile ? *

Check all that apply.
Internet
Social Media
News Updates
Educational Purpose
Gaming
Calling
Messaging
Other:
Bedtime Habits
5. Do you check your phone 5 minutes before bed? *
Mark only one oval.
Yes
No
https://docs.google.com/forms/d/1xtBhHhKgCOhquU05ruxEHamS8mfhODzHgYFwiR_SM1g/edit 1/6
6. Do you sleep with your phone under your pillow or next to your bed ? *
Mark only one oval.
Yes
No
7. Do you use your phone in the middle of the night? *

Mark only one oval.
Yes
No
8. How many hours do you sleep ? *

Mark only one oval.
More than 9 hours

8 to 9 Hours
7 to 8 Hours
6 to 7 Hours
5 to 6 Hours
4 to 5 Hours
3 to 4 Hours
Less than 3 Hours
9. Do you check your phone straight away when you wake up? *
Mark only one oval.
Yes
No
10. As you wake up, within how many minutes do you check your phone? *
Mark only one oval.
1 minute
10 minutes
30 minutes
60 minutes
11. What is the first thing you check when you

unlock your phone? *
Smartphone Use
12. How many hours do you travel everyday? *

Mark only one oval.
1 Hour
2 Hours
3 Hours
4 Hours
5 + Hours
13. Do you use your mobile while driving? *

Mark only one oval.
Yes
No
I don't Drive
14. How do you pass time while travelling? *

Check all that apply.
Listen to Music
Sleep
Check Social Media
Calls
Message
Other:
15. Do you check your phone even when nothing is happening? *

Mark only one oval.
Yes
No
16. Are you wondering how time has suddenly passed while you are playing with a cellphone?
*
Mark only one oval.
Yes
No
17. Do sometimes you feel that your phone has vibrated or rung when it hasn’t? *
Mark only one oval.
Yes
No
18. Do you have your phone when you are eating? *

Mark only one oval.
Yes
No
19. When your phone rings, beeps or buzzes, do you feel an intense urge to check your
phone? *
Mark only one oval.
Yes
No
20. How many times do you unlock your phone in a Day? *

Mark only one oval.
Less than 25 Times

25 - 50 Times
51 - 100 Times
More than 100 times
21. How many minutes do you use your phone during the day? *
Mark only one oval per row.
Don't <30 60 90 120 150 180

Use min min min min min min
9 am to Noon (12pm)
12 pm to 3 pm
3 pm to 6 pm
6 pm to 9 pm
9 pm to Midnight (12
am)
Upto 9 am
Digital Needs
22. Segregate these applications as per your needs *
Mark only one oval per row.
Self -
Physiological Safety Belonging & Esteem
Actualisation
Needs Needs Love Needs Needs
Needs
Games
Social Media
Communication
Apps
Personalization
Apps
Entertainment
Apps
Media Apps
Utility Apps
Final Section
23. What do you do if your phone is not in the
same room with you? *
24. Do you call or text someone in the same house as you? *

Mark only one oval.
Yes
No
25. Do you use your phone to check the time? *

Mark only one oval.
Yes
No
26. Do you lose track of time using your phone? *

Mark only one oval.
Yes
No
27. Have you broken your cellphone due to anger because it was not responding? *
Mark only one oval.
Yes
No
28. Do you check your smartphone while speaking with family and friends? *
Mark only one oval.
Yes
No
29. Does friends/family complain about your smartphone usage? *

Mark only one oval.
Yes
No
30. Can you do without a mobile for a day? *

Mark only one oval.
Yes
No
Breaking the Habit

31. Have you tried to limit your phone usage? *
Mark only one oval.
Yes
No
32. (If YES,) Did it work?

Mark only one oval.
Yes
No
Where is your phone right now?

If you are able to answer this question just by glancing into one of your hands right now, you may be a
phone addict
33. How do you feel yourself addicted to your smartphone? *

Mark only one oval.
Non Addictive
Slightly Addictive
Moderately Addictive
Very Addictive
Extremely Addictive
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30/03/2019 Are you Addicted to Mobile Phones?

Are you Addicted to Mobile Phones?

2. Which category below includes your age ? *

3. At what AGE did you start using a mobile

4. What is the most important reason for purchasing the mobile ? *

7. Do you use your phone in the middle of the night? *

8. How many hours do you sleep ? *

More than 9 hours

11. What is the first thing you check when you

12. How many hours do you travel everyday? *

13. Do you use your mobile while driving? *

14. How do you pass time while travelling? *

15. Do you check your phone even when nothing is happening? *

18. Do you have your phone when you are eating? *

20. How many times do you unlock your phone in a Day? *

Less than 25 Times

Don't <30 60 90 120 150 180

24. Do you call or text someone in the same house as you? *

25. Do you use your phone to check the time? *

26. Do you lose track of time using your phone? *

29. Does friends/family complain about your smartphone usage? *

30. Can you do without a mobile for a day? *

Breaking the Habit

32. (If YES,) Did it work?

Where is your phone right now?

33. How do you feel yourself addicted to your smartphone? *

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