Screen Time Questionnaire

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Screen Time Questionnaire

Uploaded by

anjalii6538

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

Modern Screen Time Questionnaire (Adults)

Instructions: Please report your average daily screen time in the last 7 days.

Section A: Device-Based Screen Time (Weekday)

Device Time (hours/minutes)
Smartphone
Laptop/Computer
Tablet
Television

Section B: Purpose of Screen Use

Activity Time (hours/minutes)
Social Media
Work/Study
Watching Videos
Gaming
Browsing/Other

Section C: Perceived Impact (Tick one)

Statement 1 2 3 4 5
I spend too much time on screens
Screen affects my sleep
Screen reduces productivity
Hard to reduce screen time

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Screen Time Questionnaire

Uploaded by

Screen Time Questionnaire

Uploaded by

Modern Screen Time Questionnaire (Adults)

Section A: Device-Based Screen Time (Weekday)

Section B: Purpose of Screen Use

Section C: Perceived Impact (Tick one)

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