Compiled Questionnaire 14
Compiled Questionnaire 14
Compiled Questionnaire 14
We are conducting research for our Math 133 Research subject to explore how individuals, particularly VSU-Isabel
students, cope with challenges and setbacks, as well as their overall well-being, satisfaction with life, attitudes towards the
internet, social media usage, potential internet addiction, and self-efficacy. Your responses to the following questionnaire
will provide valuable insights that will contribute to our understanding of these important topics. Your participation is
voluntary and confidential. Your participation is greatly appreciated.
The Researchers
A. Personal Information
Place of Birth:
Home Address:
Time spent on Social Media: less than 30 mins, per day 30 mins -1 hour per day
1- 2 hours per day 2-4 hours per day more than 4 per day
B. Instructions:
Below are five statements that you may agree or disagree with. Indicate your agreement with each item by checking the
appropriate box, from strongly agree, to strongly disagree. Please be open and honest in your responding.
Scoring Scale:
1: Strongly Disagree
2: Disagree
3: Slightly Disagree
4: Neither Agree nor Disagree
5: Slightly Agree
6: Agree
7: Strongly Agree
SAMPLE:
1 2 3 4 5 6 7
In most ways my
life is close to my ✔
ideal.
1 2 3 4 5 6 7
In most ways my life is
close to my ideal.
The conditions of my
life are excellent.
I am satisfied with my
life.
Domain 1 1 2 3 4 5
Physical Health
1. To what extent do you feel that physical pain prevents you from
doing what you need to do?
Domain 3
Social Relationships
9. How satisfied are you with your personal relationships (family,
friends)?
Domain 4
Environment
12. How safe do you feel in your daily life?
13. How healthy is your physical environment (home, work, etc.)?
14. How satisfied are you with the accessibility of health
services?
15. How satisfied are you with your opportunities for leisure
activities?
Instructions: Imagine the following events as if they were happening right now. Then circle the number that represents
your answer to each of the related questions.
3. You are criticized for a big project that you just completed.
The consequences of this situation will:
15. You are not exercising regularly though you know you should.
To what extent can you influence this situation?
17. Your computer crashed for the third time this week.
To what extent can you influence this situation?
Not at all 1 2 3 4 5 Completely
1 2 3 4 5 6 7 8 9
1. Made/shared a post or story about something positive that
was personally about me
2. Looked at how many people liked, commented on, shared
my content, or followed/friended me
3. Read comments to my own content
4. Edited and/or deleted my own social media content
5. Played with photo filtering/photo editing
6. Compared my body or appearance to others'
7. Compared my life or experiences to others
8. Reminisced about the past
9. Made/shared a post or story about something negative that
was personally about me
10. Made/shared a post or story about something negative that
was NOT personally about me
11. Commented unsupportively or disliked/"reacted"
unsupportively on other's post(s)
12. Sought out content that I morally or ethically disagreed
with
13. Scrolled aimlessly through my feed(s)
14. Looked at others’ stories
15. Navigated to others' profiles in my social network (e.g.,
friends or friends of friends)
16. Navigated to others' pages who I do not know (e.g.,
influencers or other famous people)
17. Watched videos such as memes, news content, how-
tos/recipes, etc.
Instructions: This survey aims to gather information about your attitudes towards the internet. For each question, put a
check (✓) next to the number and please answer honestly and to the best of your ability.
5- Very High
4- High
3- Medium
2- Low
1- Very Low
TOTALS
Instructions:
This questionnaire consists of 20 statements. After reading each statement carefully, based upon the 5-point Likert
scale, please select the response (0, 1, 2, 3, 4 or 5) which best describes you. If two choices seem to apply equally well,
circle the choice that best represents how you are most of the time during the past month. Be sure to read all the statements
carefully before making your choice. The statements refer to offline situations or actions unless otherwise specified.
0 = Not Applicable
1 = Rarely
2 = Occasionally
3 = Frequently
4 = Often
5 = Always
1. How often do you find that you stay online longer than you intended?
2. How often do you neglect household chores to spend more time online?
3. How often do you prefer the excitement of the Internet to intimacy with your partner?
4. How often do you form new relationships with fellow online users?
5. How often do others in your life complain to you about the amount of time you spend
online?
6. How often do your grades or school work suffer because of the amount of time you
spend online?
7. How often do you check your email before something else that you need to do?
8. How often does your job performance or productivity suffer because of the Internet?
9. How often do you become defensive or secretive when anyone asks you what you do
online?
10. How often do you block out disturbing thoughts about your life with soothing thought
of the Internet?
11. How often do you find yourself anticipating when you will go online again?
12. How often do you fear that life without the Internet would be boring, empty, and joyless?
13. How often do you snap, yell, or act annoyed if someone bothers you while you are online?
14. How often do you lose sleep due to being online?
15. How often do you feel preoccupied with the Internet when off-line, or fantasize about
being online?
16. How often do you find yourself saying "just a few more minutes" when online?
17. How often do you try to cut down the amount of time you spend online and fail?
18. How often do you try to hide how long you've been online?
19. How often do you choose to spend more time online over going out with others?
20. How often do you feel depressed, moody, or nervous when you are off-line, which goes
away once you are back online?
VII. General Self-Efficacy Scale (GSE)
Instruction:
Please CHECK ONE response that best describe you. Be honest, since the information will be used to help you in school
and also help you become more prepared in the future. There are no right or wrong answers. This questionnaire is designed
to help you understand your own self-efficacy, which is your belief in your ability to succeed in different situations.
Scoring Scale:
1 = Not at all true
2 = Hardly true
3 = Moderately true
4 = Exactly true
1 2 3 4