ON AVERAGE HOW MANY HOURS A DAY DO YOU SPEND ON SOCIAL MEDIA?
0-1 HOURS
1-2 HOURS
3-4 HOURS
4+ HOURS
WHAT SOCIAL MEDIA DO YOU USE? (select all that apply).
INSTAGRAM
SNAPCHAT
FACEBOOK
TIKTOK
TWITTER
OTHER
FROM THE LIST ABOVE WHICH FORM OF SOCIAL MEDIA DO YOU USE THE MOST?
DO YOU THINK THAT SOCIAL MEDIA CAN AFFECT ONE'S MENTAL HEALTH?
YES
NO
HAVE YOU EVER COMPARED YOURSELF TO PEOPLE YOU FOLLOW?
YES
NO
SOMETIMES
OVERALL WHAT IMPACT HAS SOCIAL MEDIA HAD ON YOU?
POSITIVE
NEGATIVE
NO IMPACT
BOTH POSITIVE AND NEGATIVE
HAS SOCIAL MEDIA EVER MADE YOU FEEL SAD OR ANXIOUS?
YES
NO
HAVE YOU EVER ALLOWED SOCIAL MEDIA TO BECOME A FORM OF VALIDATION?
YES
NO
ON A SCALE OF 1-5 HOW ADDICTED ARE YOU TO USING SOCIAL MEDIA (1 = LEAST; 5 = MOST)
1
2
3
4
5
DO YOU PAY ATTENTION TO THE AMOUNT OF FOLLOWERS YOU HAVE OR AMOUNT OF LIKES YOU GET ON A POST OR PICTURE?
YES
NO
IF YOU ANSWERED YES TO THE QUESTION ABOVE, DOES A LOW FOLLOWING OR LOW AMOUNT OF LIKES UPSET YOU?
YES
NO
I AM CURRENTLY DEALING WITH SOME FORM OF MENTAL ILLNESS (DEPRESSION, ANXIETY, ETC...)
True
False
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