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100%

 
 
A. Gender
 
1=Male
 
2=Female
 
3=Would rather not say
 
 
 
B. Age
 
1 = Under 13 years
 
2 = 13 years
 
3 = 14 years
 
4 = 15 years
 
5 = 16 years
 
6 = Over 16 years
 
 
 
C. Do you have a cell phone? If no, discontinue survey.

 
1 = Yes
 
2 = No
 
 
 
D. Do you have a text messaging plan for your cell phone?
 
1 = Yes, an unlimited texting plan.
 
2 = Yes, a limited texting plan.
 
3 = Yes, a pay-per-text texting plan.
 
4 = No
 
 
1. How often would you say you use your cell phone every day?
 
1 = Rarely
 
2 = Occasionally
 
3 = Frequently
 
4 = Often
 
5 = Always
 
Does Not Apply
 
 
 
2. How often would you say you send or receive text messages every day?
 
1 = Rarely
 
2 = Occasionally
 
3 = Frequently
 
4 = Often
 
5 = Always
 
Does Not Apply
 
 
 
3. How often do you find that you stay on your cell phone or text messaging longer than you intended?
 
1 = Rarely
 
2 = Occasionally
 
3 = Frequently
 
4 = Often
 
5 = Always
 
Does Not Apply
 
 
 
4. How often do you neglect household chores to spend more time on your cell phone or texting?
 
1 = Rarely
 
2 = Occasionally
 
3 = Frequently
 
4 = Often
 
5 = Always
 
Does Not Apply
 
 
 
5. How often do you prefer to talk on the phone or text message than to spend time with your friends or family?
 
1 = Rarely
 
2 = Occasionally
 
3 = Frequently
 
4 = Often
 
5 = Always
 
Does Not Apply
 
 
 
6. How often do you find yourself interrupting chores or homework to use your cell phone or text message?
 
1 = Rarely
 
2 = Occasionally
 
3 = Frequently
 
4 = Often
 
5 = Always
 
Does Not Apply
 
 
 
7. How often do others in your life complain to you about the amount of time you spend on your cell phone or text messaging?
 
1 = Rarely
 
2 = Occasionally
 
3 = Frequently
 
4 = Often
 
5 = Always
 
Does Not Apply
 
 
 
8. How often do your grades suffer because of the amount of time you spend on your phone or text messaging?
 
1 = Rarely
 
2 = Occasionally
 
3 = Frequently
 
4 = Often
 
5 = Always
 
Does Not Apply
 
 
 
9. How often do you check your cell phone for missed calls or text messages?
 
1 = Rarely
 
2 = Occasionally
 
3 =Frequently
 
4 = Often
 
5 = Always
 
Does Not Apply
 
 
 
10. How often does your school performance suffer because of your cell phone use?
 
1 = Rarely
 
2 = Occasionally
 
3 =Frequently
 
4 = Often
 
5 = Always
 
Does Not Apply
 
 
 
11. How often do you become defensive or secretive when anyone asks you what you do on your phone or the text messages you receive?
 
1 = Rarely
 
2 = Occasionally
 
3 = Frequently
 
4 = Often
 
5 = Always
 
Does Not Apply
 
 
 
12. When not able to access your cell phone, how often do you find yourself thinking about it or wishing it was around?
 
1 = Rarely
 
2 = Occasionally
 
3 = Frequently
 
4 = Often
 
5 = Always
 
Does Not Apply
 
 
 
13. How often do you find yourself anticipating when you will use your cell phone again?
 
1 = Rarely
 
2 = Occasionally
 
3 = Frequently
 
4 = Often
 
5 = Always
 
Does Not Apply
 
 
 
14. How often do you think that life without your cell phone would be boring, empty, and less fun?
 
1 = Rarely
 
2 = Occasionally
 
3 = Frequently
 
4 = Often
 
5 = Always
 
Does Not Apply
 
 
 
15. How often do you snap, yell, or act annoyed if someone bothers you while you are using your cell phone?
 
1 = Rarely
 
2 = Occasionally
 
3 = Frequently
 
4 = Often
 
5 = Always
 
Does Not Apply
 
 
 
16. How often do you lose sleep due to late-night calls or text messages?
 
1 = Rarely
 
2 = Occasionally
 
3 = Frequently
 
4 = Often
 
5 = Always
 
Does Not Apply
 
 
 
17. How often do you feel preoccupied with thoughts about your cell phone when it is not around?
 
1 = Rarely
 
2 = Occasionally
 
3 = Frequently
 
4 = Often
 
5 = Always
 
Does Not Apply
 
 
 
18. How often do you find yourself saying "just a few more minutes" when using your cell phone?
 
1 = Rarely
 
2 = Occasionally
 
3 = Frequently
 
4 = Often
 
5 = Always
 
Does Not Apply
 
 
 
19. How often do you try to cut down the amount of time you spend on your cell phone and fail?
 
1 = Rarely
 
2 = Occasionally
 
3 = Frequently
 
4 = Often
 
5 = Always
 
Does Not Apply
 
 
 
20. How often do you try to hide how long you've been on your cell phone?
 
1 = Rarely
 
2 = Occasionally
 
3 = Frequently
 
4 = Often
 
5 = Always
 
Does Not Apply
 
 
 
21. How often do you choose to spend more time on your cell phone or text messaging instead of going out with others?
 
1 = Rarely
 
2 = Occasionally
 
3 = Frequently
 
4 = Often
 
5 = Always
 
Does Not Apply
 
 
 
22. How often do you feel depressed, moody, or nervous when you are not text messaging or using your cell phone?
 
1 = Rarely
 
2 = Occasionally
 
3 = Frequently
 
4 = Often
 
5 = Always
 
Does Not Apply
 
 
 
23. Do these feelings go away once you are using your cell phone again?
 
1 = Rarely
 
2 = Occasionally
 
3 = Frequently
 
4 = Often
 
5 = Always
 
Does Not Apply
 
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