Example Questionaire for Research Paper

Topics: Addiction, Questionnaire, Interpersonal relationship Pages: 1 (318 words) Published: October 3, 2012
This is a survey questionnaire for a research that we are conducting regarding online game addiction for our research paper for English 3. Your response and your identity will be kept confidential and we will not share the information we obtained with anybody else. It will be used for academic purpose only. Your response to this survey is very valuable and will be appreciated. Thank you very much for your participation. -------------------------------------------------

Directions: Please Check by Yes or No
Name:________________________Date: __________
Age: _______Gender: __________
Questions| YES| NO|
1. Do you consider yourself to be addicted to your most frequently played online game?| | | 2. Do you feel you have a problem limiting the time you spend on the 'Net?|  |  | 3. Have any of your friends or family members complained about the time you spend at your computer?|  |  | 4. Do you find it hard to stay away from the 'Net for several days at a time?|  |  | 5. Has either your work output or your personal relationships suffered as a result of spending too much time on the 'Net? |  |  | 6. Did you increase the time you spend in the internet, since the time you started to now?| | | 7. Do you pay attention to advantageous times (in regard of the tariff), when you are using the net?| | | 8. Do you skip your meals just to finish your game?| | | 9. Do you hold off going to the toilet just to complete a non-competition game?| | | 10.  Do you skip sleep just to finish your game?| | |

11. Do you spend more time than you think you should surfing the 'Net?| | | 12. Do уου feel a need to spend more and more time to line tο achieve satisfaction?| | | 13. Dο уου lie tο family members οr friends tο сοnсеаl hοw οftеn аnd hοw long уου stay online?| | | 14. Dο уου keep returning even аftеr spending tοο much money οn-line fees?|...
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