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| In the past two weeks how many hours have you spent using Facebook or other Social Meda? (Select all that apply)? |
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| In the past two weeks have you felt down,depressed, or hopeless? (Select all that apply)? |
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| What time is it, when you log social media for the evening? (Select all that apply)? |
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| Do you have trouble sleeping, falling asleep, or sleeping too much after using Facebook or other Social Media? (Select all that apply)? |
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| Do you feel tired or have low energy after using Facebook or other Social Media (Select all that apply)? |
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| Do you have a poor apetite or overeat immedialty following use of Facebook or Social Media (Select all that apply)? |
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| Feeling bad about yourself - or that you are a failure or have let yourself or your family down after using Facebook or other Social Media (Select all that apply)? |
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| Trouble concentrating on things, such as reading the newspaper or watching television after prolonged use of Facebook or Social Media (Select all that apply)? |
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| Thoughts that you would be better off dead, or of hurting yourself (Select all that apply)? |
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| If you checked off any problems, how difficult have these problems made it for you at work, home, or with other people? (Select all that apply)? |
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