State of Technology and Media
STUDENT SURVEY 2018
1. How many hours of “screen time” do you
have in average day? (Including school)
____Less Than One Hour
____One Hour
____Two Hours
____Three Hours
____More than Three Hours
2. How would you rate yourself when it comes
to using technology?
____I’m an expert
____I’m comfortable with technology
____I struggle with technology
____I don’t like using technology
3. Do you have your own cell phone or smart
phone?
____Yes
____No
4. If you do have your own cell or smart phone,
what do you use if for mostly?
____Making phone calls
____Texting
____Playing games
____Watching videos
____Looking at images
____I don’t have one!!!!
____Mostly texting, calling and watching…
____Listening to music and call whenever….
5. Do you have a mobile media device?
____Yes
____No
6. On which device do you spend most of your
time?
____Computer (desktop/laptop)
____Mobile devices (ipad touch, etc)
____Cell phone
____Game consoles (Wii, Xbox, et)
____I don’t use any technology
7. Put a check next to all the technology
activities you have done OUTSIDE OF SCHOOL
in the past six months or so.
____Sent a text message by cell phone or
mobile devices
____Watched a video on the internet
____Posted a piece of writing to an online site
____Used a social networking space
____Searched for information
____I’ve not done any of these
8. Do you have a site on facebook?
____Yes
____No
9. Do you use Instagram?
____Yes
____No
10. If you use instagram, how do you use it?
____I post images
____I follow other users
____I comment on other people’s images
____I just look at images
11. Do you use snapchat?
____Yes
____No
12. Have you participated in a Snapchat
Streak?
____Yes
____No
____I don’t know what that is
13. If you answered YES to the question about
Snapchat Streaks, how many Streaks do you
have underway right now?
____One
____Two
____More than Three
14. Does your family ever limit that amount of
time you can use technology (phones, gaming
systems, mobile devices) at home?
____Yes
____No
15. Do you ever hide what you are doing with
technology from your parents?
____Yes
____No
16. When you use technology, how does it
make you feel?
1 – Bad 2 3 4 5–
good
17. Have you ever had a negative experience
when you were at an online site or in an app?
____Yes
____No
18. Have you ever shared a password to an
online site with a friend?
____Yes
____No
19. Has any adult (parent, teacher, etc) ever
talked to you about how you should behave
when you are online or using technology?
____Yes
____No
20. If you were given the choice when assigned
a school project, would you choose using
technology or not using technology?
____I would USE technology
____I would NOT use technology
EMPOWERMENT TECHNOLOGY