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  2. 2014
  3. October
  4. A
  5. Adolescent Development Survey
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Please answer each question honestly and to the best of your abilities. 
 
 
 
Do you own a cellphone?
 
Yes
 
No
 
 
 
If yes, how much time a day do you spend on your cellphone?
 
0-1 hour
 
1-2 hours
 
3-4 hours
 
5-6 hours
 
7-8 hours
 
+8 hours
 
 
 
How many televisions are in your household?
 
0
 
1
 
2
 
3
 
4
 
5
 
6+
 
 
 
How much time each day do you spend watching television?
 
0-1 hour
 
1-2 hours
 
3-4 hours
 
5-6 hours
 
7-8 hours
 
+8 hours
 
 
 
How much time each day do you spend playing video games?
 
0-1 hour
 
1-2 hours
 
3-4 hours
 
5-6 hours
 
7-8 hours
 
+8 hours
 
 
 
Do you have a computer/tablet in your household?
 
yes
 
no
 
 
 
If yes, how much time each day do you spend using a computer/tablet?
 
0-1 hour
 
1-2 hours
 
3-4 hours
 
5-6 hours
 
7-8 hours
 
+8 hours
 
 
 
Does your parent monitor your internet, cellphone, computer/tablet, and/or video game usage?
 
Yes
 
No
 
 
 
Does your parent implement a time limit on your cellphone, internet, video game, computer/tablet usage? 
 
Yes
 
No
 
 
 
How would you describe yourself as a student and overall academic performance?
   
 
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