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  5. Internet Addiction Survey
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Exit Survey
 
 
We appreciate your completing this survey regarding Internet Addiction. The objective of this survey is to allow us to identify the relationship between Internet addiction and academic success. Please answer all questions to the best of your ability. We anticipate that this should take no more than 10 minutes to complete.

Survey: Provide the following information about yourself
 
 
 
Your student ID (optional):
   
 
 
 
Gender
 
Male
 
Female
 
 
 
Age:
   
 
 
 
GPA
 
2.0-2.49
 
2.5-2.99
 
3.0-3.49
 
3.5-3.74
 
>3.75
 
 
 
Your SAT score:
   
 
 
 
Are you a
 
Freshman
 
Sophomore
 
Junior
 
Senior
 
Graduate
 
 
 
What is your work status?
 
Work full time
 
Work part time
 
Do not work
 
Internships
 
 
 
How much time do you spend on the Internet on a daily basis?
 
<2 hours
 
>2 to 5 hours
 
>5 to 10 hours
 
>10 hours
 
 
 
What percent of your time spent on the Internet is about academic activities?
 
<10%
 
10% to <25%
 
25 to <50%
 
50% to <75%
 
>75%