nettime: Internet Addiction Survey

[Pit Schultz <pit@contrib.de>]

X-URL: http://www1.pitt.edu./~ksy/survey.htm

> Internet Addiction Survey
> 
> Developed by Dr. Kimberly S. Young
> 
> University of Pittsburgh at Bradford
> 
> PART I: BEHAVIORAL PATTERNS
> 
> Please check "yes" or "no" to the following statements:
> 
> Have you ever:
> 
> 1. Needed to spend longer periods of time on-line to achieve
> satisfaction.
> 
>       Yes.
>       No.
> 
> 2. Experienced any type of withdrawal symptoms (e.g., increased
> depression, moodiness, or irritability) when you are off-line
> 
>       Yes.
>       No.
> 
> 3. Spent longer periods of time on the Internet than was intended
> 
>       Yes.
>       No.
> 
> 4. Made unsuccessful attempts to cut down how much time you spend
> on-line
> 
>       Yes.
>       No.
> 
> 5. Engaged in behavior that allows longer time on-line (e.g., skip a
> class to use the Internet, go to bed late or wake up early just to use
> the Internet, etc.)
> 
>       Yes.
>       No.
> 
> 6. Lost interest in any social, occupational, or recreational
> activities because of the Internet (e.g., hobbies, going out with
> others, calling friends, etc.)
> 
>       Yes.
>       No.
> 
> 7. Continued to use the Internet despite recurrent problems in your
> real life either caused or exacerbated by your use of the Internet
> (work-related problems, school problems, financial problems, or family
> problems)
> 
>       Yes.
>       No.
> 
> 8. Felt preoccupied with being back on-line when you are not using the
> Internet
> 
>       Yes.
>       No.
> 
> 9. Been addicted to anything in your life
> 
>       Yes.
>       No.
> 
> If yes, what have you been addicted to and is this an ongoing
> addiction or have you recovered?
> 
> If yes, did you quit on your own or need treatment? Please describe.
> 
> 10. Suffered from depression
> 
>       Yes.
>       No.
> 
> 11. Suffered from an anxiety related disorder (e.g., panic attacks)
> 
>       Yes.
>       No.
> 
> 12. Suffered from Attention Deficit Disorder
> 
>       Yes.
>       No.
> 
> 13. Argued with others about how much time you spend on-line
> 
>       Yes.
>       No.
> 
> 14. Become more withdrawn from others because of the amount of time
> you spend on- line
> 
>       Yes.
>       No.
> 
> 15. Lost interest in going out with friends because it takes time away
> from use of the Internet
> 
>       Yes.
>       No.
> 
> 16. Lost interest in going out with family members because it takes
> time away from use of the Internet
> 
>       Yes.
>       No.
> 
> 17. Avoided travel because it takes time away from use of the Internet
> 
>       Yes.
>       No.
> 
> 18. Avoided social events because it takes time away from use of the
> Internet
> 
>       Yes.
>       No.
> 
> 19. Lied to others about how much time you spend on-line
> 
>       Yes.
>       No.
> 
> 20. Ended a relationship because of use of the Internet
> 
>       Yes.
>       No.
> 
> 21. Spent more money than you can afford for on-line service fees
> 
>       Yes.
>       No.
> 
> 22. Lied to others about how much money you spend for on-line service
> fees
> 
>       Yes.
>       No.
> 
> 23. Needed to borrow money to pay for on-line service fees
> 
>       Yes.
>       No.
> 
> 24. Avoided paying other bills in order to afford your on-line service
> fees
> 
>       Yes.
>       No.
> 
> 25. Failed a class because of your use of the Internet
> 
>       Yes.
>       No.
> 
> 26. Spent less time studying because of your use of the Internet
> 
>       Yes.
>       No.
> 
> 27. Been placed on probation from school because of your use of the
> Internet
> 
>       Yes.
>       No.
> 
> 28. Been late for appointments, work, or class because you lost track
> of time once you were on-line
> 
>       Yes.
>       No.
> 
> 29. Missed work because you wanted to stay home to use the Internet
> 
>       Yes.
>       No.
> 
> 30. Used the Internet for personal business during work hours.
> 
>       Yes.
>       No.
> 
> 31. Has the availability of the Internet at work caused your work
> productivity to decline in any way
> 
>       Yes.
>       No.
> 
> 32. Have you ever been in trouble at work because of your personal use
> of the Internet services provided there
> 
>       Yes.
>       No.

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