Remember, your answers are anonymous, private, and confidential.
Grade
-select-
5
6
7
8
9
10
11
12
Birth Year
-select-
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
Gender
-select-
Female
Male
Choose not to answer
Zip Code
1. I have the following type of smartphone
-select-
Android
iPhone
I don't have a smartphone
2. I keep my phone near or in my bed at night.
-select-
Never
Rarely
Sometimes
Always
3. I got my first device at age
-select-
0-3
4-6
7-10
11-13
14-15
16+
4. I feel like I generally spend (select) hours on my PHONE everyday.
-select-
Less than an hour
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
5. I feel like I generally spend (select) non-educational hours on a SCREEN everyday.
-select-
Less than an hour
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
6. Please open your Screen Time on your smart phone, what is your Daily Average?
7. I have (how many) best friends that I spend time with in person.
9. Of the following ways, I prefer talking with my friends:
First favorite way
-select-
in person
text message
live video
phone call
social media
gaming
Second favorite way
-select-
in person
text message
live video
phone call
social media
gaming
Third favorite way
-select-
in person
text message
live video
phone call
social media
gaming
Fourth favorite way
-select-
in person
text message
live video
phone call
social media
gaming
10. If I received a text from a friend, I feel I must reply right away.
11. If I received a text from famiily, I feel I must reply right away.
12. I feel pressure about checking my social media HOURLY.
-select-
Yes
No
I don't have social media
13. I feel pressure about checking my social media DAILY.
-select-
Yes
No
I don't have social media
14. I use the following social media platforms:
Instagram
-select-
hourly
daily
weekly
monthly
never
Snapchat
-select-
hourly
daily
weekly
monthly
never
Twitter
-select-
hourly
daily
weekly
monthly
never
Facebook
-select-
hourly
daily
weekly
monthly
never
TikTok
-select-
hourly
daily
weekly
monthly
never
Discord
-select-
hourly
daily
weekly
monthly
never
Reddit
-select-
hourly
daily
weekly
monthly
never
WhatsApp
-select-
hourly
daily
weekly
monthly
never
15. When possible, I have ALL my social media accounts on private
-select-
Yes
No
I don't know
I don't have social media
16. I allow my friends to use social media or apps to find my location?
-select-
Yes
No
I don't know
17. I use social media or apps to find my friends, see who they are with, or what they are doing?
18. Online, I am comfortable allowing anyone to see my location.
19. I have received messages online offering me money, opportunities, or gift cards
20. I have received inappropriate online, comments, compliments, pictures or requests for pictures
21. I have been bothered by inappropriate comments, compliments, pictures or requests for pictures online.
22. I have been harassed online by unwanted comments, threats, inappropriate pictures or requests for pictures.
Thinking about the past 12 months, please answer the following questions.
* Remember, your answers are anonymous and will be not be tied to you.
23. I have been asked to share nude pictures of myself.
-select-
never
rarely
sometimes
frequently
24. I have felt pressured to share nude pictures when I didn't want to.
-select-
never
rarely
sometimes
frequently
25. I have shared nudes in the past year.
-select-
never
rarely
sometimes
frequently
26. I have had someone share my nudes with others.
-select-
never
rarely
sometimes
frequently
27. I have received unwanted/unsolicited nude pictures.
-select-
never
rarely
sometimes
frequently
28. I have asked others to send nude pictures in this past year.
-select-
never
rarely
sometimes
frequently
29. For each group of words, choose which word you use to describe how social/interactive media makes you feel most of the time:
32. Pick the statement that best describes the way you feel about social media.
-select-
I love everything about social media.
I like social media most of the time, but sometimes it bums me out.
I can see the pros and the cons.
I often wish social media was never invented.
I hate it with a fiery passion.
Is there anything in this survey that sparked a thought you would like to share?
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