<div style="text-align: center;">Screen Time/Media Consumption</div> <div style="text-align: center;"> </div> <div style="text-align: center;"><span style="text-decoration: underline;"><strong>Be honest</strong></span></div> <div style="text-align: center;"> </div> <div style="text-align: center;">Remember this is <span style="text-decoration: underline;">anonymous</span> and will <span style="text-decoration: underline;">not</span> be posted or shared anywhere. </div>

How many hours do you spend consuming media (Social Media, Youtube, Netflix, Hulu, etc.) per day?

0-2 hours

3-5 hours

6-9 hours

10+ hours

How much time do you spend on your phone each day? (i.e. Checking texts, social media, emails, games and other)

How much time is spent in home without screens each day?

0-2 hours

3-5 hours

6-8 hours

9+ hours

How much does your use of technology/screen time affect your motivation to get things done?

I have a very hard time finding motivation to get anything done

A lot, I never get things done when I want to

A lot, I often wait until last minute to get things done

Often, but I still manage to get things done

Sometimes, I have a decent amount of control over it

Every once in a while, its really not a problem for me

Never, I have a very strong motivation

Screen Time/Media Consumption

Be honest

Remember this is anonymous and will not be posted or shared anywhere.