Internet Survey

This survey is a simple Internet Survey to find out what people are doing on the internet, how much time they spend on the internet and how they feel about the internet. Everything submitted on this survey is confidential. Your email is used to make sure there are no duplicates and will not be used in anyway. Please fill out the whole survey. It should only take about 5-10 minutes. Thank you in advance and please tell your friends to come fill this out too =). To move through this survey quickly use the mouse or the Tab key.

Age Gender Select One Male Female

Ethnicity: Select One Asian African American Caucasian Middle Eastern Pacific Islander Hispanic Other If other, please specify:

Relationship status: Select one Single Married Divorced Widowed Boyfriend Girlfriend Internet Boyfriend Internet Girlfriend If other, please specify:

Education: (Please indicate highest level currently achieved). Select One 1-8 years of school Some High School High School Graduate Technical Degree AA degree First Year College Second Year College Third Year College Fourth Year College College Bachelor Degree Masters Degree Doctorate

Email :         

Occupation :

Origin :         
1. When were you first introduced to the Internet (Date)?
2. What do you do on the Internet?(Check all that apply)                              How much time(in hours)
E-mail                                                                                                                            
Muds/Role Playing Games                                                                                              
Chat rooms/Talkers                                                                                                        
Interactive Games                                                                                                          
Newsgroups                                                                                                                  
Research                                                                                                                       
Surfing the Web                                                                                                             
Work related                                                                                                                  
Other :
3. How many times do you get onto the Internet in a given 7 day week?                      
4. How much time do you spend on the Internet in a given 7 day week?(in hours)        
5. How much time do you spend on the Internet on the weekend?(in hours)                 
6. Do you ever feel sad when getting off of the Internet ?Yes No

7. Do you ever feel anxiety because you haven't been on the internet in a certain amount of time? How much time?Yes No

8. Have you ever gotten upset about something that has happened on the Internet?Yes No

9. Have you ever rearranged your schedule around the things you do on the Internet?Yes No

10. Have your sleeping habits changed since you have been using the internet?Yes No

11. Since you were first introduced to the Internet have you progressively used the Internet more?Yes No

12. Have you ever dreamed of things that have happened on the Internet?Yes No

13. Have you ever missed a class or meeting because of being on the Internet?Yes No

14. Have you ever been late to a class or meeting because of being on the Internet?Yes No

15. Have you ever changed your plans because you have were on the Internet?Yes No

16. Have you ever tried to decrease your time on the Internet?Yes No

17. Are there things you do now that you don't do because you use the Internet?Yes No

18. Have you ever thought about getting onto the Internet at work or during class?Yes No

19. Has your work or classwork decreased in production because of the Internet?Yes No

20. Have you ever daydreamed about the Internet?Yes No

21. Do you feel more comfortable talking to people on the Internet than everyday Acquaintences?Yes No

22. Do you think the Internet is like a "Micro Society"?Yes No

23. What is the longest length of time that you have spent on the Internet at one given time?

24. What is the average time you spend on the Internet at one given time?

25. Have you ever been told you spend too much time on the Internet?Yes No

26. Would you say your self esteem has risen since being on the Internet?Yes No

27. Have you ever felt bored after not being on the Internet?Yes No

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Testing Testing

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