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SELF-CHECK QUESTIONNAIRE Screen Time

Total questions: 6

Worksheet time: 3mins

Name
Class
Date
1.

Which of the below best describes how you feel about your own screen time?

Select one.

a)

Too Little

b)

Just the right amount

c)

Too much

2.

What is your average active screen time per day?

a)

Less than an hour

b)

1-3 hours

c)

4-6 hours

d)

beyond 7 hours

3.

What is your average passive screen time per day?

a)

Less than an hour

b)

1-3 hours

c)

4-6 hours

d)

beyond 7 hours

4.

Which of the below best describes how often you check your phone?

a)

A few times per day

b)

About once per hour

c)

About once every half hour

d)

At least once every 10 minutes

5.

Which of the below best describes how you use your phone before bedtime?

a)

I stop at least an hour before bedtime.

b)

I stop at least 30 minutes before bedtime.

c)

I use it up until bedtime and turn off notifications.

d)

I use it up until bedtime and continue to check notifications.

6.

While you are asleep, do you keep your phone within arm's

reach?

a)

YES

b)

NO