📌 Questions:
1. How many hours do you spend daily on digital devices?
☐ Less than 2 hours
☐ 2–4 hours
☐ 4–6 hours
☐ More than 6 hours
2. What do you mainly use digital devices for?
☐ Studying/Work
☐ Social Media
☐ Gaming
☐ Watching Videos
☐ Other: ___________
3. Do you feel tired or have eye strain after using screens for long
periods?
☐ Yes
☐ No
☐ Sometimes
4. Do you check your phone even when there are no notifications?
☐ Frequently
☐ Occasionally
☐ Rarely
☐ Never
5. Has overuse of screens affected your sleep or daily routine?
☐ Yes
☐ No
☐ Not sure
6. Have you ever tried to limit your screen time?
☐ Yes, successfully
☐ Yes, but it didn’t work
☐ No
7. Do you feel distracted when trying to focus on studies or work
because of digital devices?
☐ Always
☐ Sometimes
☐ Rarely
☐ Never
8. Do you think overuse of gadgets affects your mental or physical
health?
☐ Yes
☐ No
☐ Not sure
9. Do your parents or teachers talk to you about screen time limits?
☐ Yes
☐ No
☐ Occasionally
10. Do you feel that digital device usage is affecting your real-life
relationships or offline activities?
☐ Yes
☐ No
☐ Sometimes