I spend ___ minutes each day getting ready for school (or the day).

• 5

• 15

• 30

• 60 (1hr)

I spend ___ minutes a day reading.

ex. reading a novel, news articles, blogs, etc.

**doesn't not have to be a traditional book**

• 0

• 15

• 30

• 60+

I spend ___ hours/minutes at school.

I spend ___ minutes trying to organize my day.

• 0-10

• 11-30

• 31-60

• 60+

I spend ___ minutes a day eating.

**Think about the whole day, every meal.**

• 0-10

• 10-30

• 31-60

• 61+

I spend ___ minutes a day exercising.

• 0-15

• 16-30

• 31-60

• 61+

I spend ___ minutes a day streaming TV services.

ex: Netflix, YouTube, Hulu, HBO Max, Disney+, etc.

• 0

  I don't watch TV.

• 30-60

  about an hour

• 61-120

  at most 2 hours

• 121+

  More than 2 hours

I spent ___ minutes a day talking with friends.

ex: in person, on the phone, FaceTime, Instagram, Snapchat, Discord, etc.

• 10-20

• 21-30

• 31-60

• 61+

What are the modes of communication that you use?

ex: texting, FaceTime, Snapchat, Instagram, WhatsApp, etc.

I spend ___ minutes a day playing video games or on my phone.

• 0

  I don't play games.

• 10-20

  Only when I'm really bored

• 30-60

  I devote a set amount of time to play, but not more.

• 60+

  I would play all day and night if I could.