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Questionnaire Sample

The document is a sample questionnaire designed to assess the impact of social media on students' academic performance and mental health. It includes demographic questions and a series of statements for respondents to rate on a scale from 1 (Never) to 5 (Yes). The responses will be kept confidential to encourage honest feedback.

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ekajreginald
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0% found this document useful (0 votes)
3 views2 pages

Questionnaire Sample

The document is a sample questionnaire designed to assess the impact of social media on students' academic performance and mental health. It includes demographic questions and a series of statements for respondents to rate on a scale from 1 (Never) to 5 (Yes). The responses will be kept confidential to encourage honest feedback.

Uploaded by

ekajreginald
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Sample Questionnaire

Name (optional): ________________________ Year & Section: ________________

Age: ____ Sex: ________

Directions: Please indicate how much you agree or disagree with each statement in the

survey by checking the box on the right side of each statement. There needs to be correct and

correct responses. Identity will be hidden, and your responses will be handled in the strictest

confidence.

Scale: 5 - Yes

4 - Often

3- Sometimes

2 - Rarely

1 - Never

5 4 3 2 1

A. Social Media Yes Often Sometimes Rarely Never

1. Have you ever missed a deadline or failed to

complete an assignment due to social media

distractions

2. Do you spend (insert #of hrs) on social media

per day?
3. Does social media distract you from

completing your schoolwork?

4. Did you stay up late using social media and as

a result, had trouble concentrating in class the

next day?

5. Do you feel that social media has a negative

impact on your ability to manage stress and

anxiety related to schoolwork?

6. Do you feel that social media usage affects

your mental health and well-being?

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