1. Are you male or female?

 Male
 Female

2. Which category below includes your age?

 13-15
 16-19
 20-24
 24-30

3. Do you have any spare mobile?

 Yes
 NOs

4. At what AGE did you start using a mobile phone? Years

5. You took a mobile because –

 Everybody around you already had one with them
 You wanted to buy it
 Somebody (friend/parents) asked you to get one for yourself
 Any other (please specify)

6. What is the most important reason for purchasing the mobile?

 Internet
 Social Media
 Messaging
 Educational Purpose
 Gaming
 Work
 News Updates
 Calling
7. Do you use your mobile while driving?
 NO, Never
 Seldom/Rarely
 Sometimes
 Often
 YES, Always
 I DON’T HAVE A VEHICLE

8. Can you do without a mobile for a day?

1. Yes
2. No
If NO, why not?

9. Best part of having a mobile is –

1. It is ‘stylish’
2. It makes your life easier i.e. it is ‘convenient’
3. You feel ‘safer’
4. Any other

10. How many hours do you spend on your mobile phone?

 What time do you get up?

 4-5am
 5-6am
 6-7am
 7-8am
 8-9am
 After 9am

 After getting up in the morning, within how many

minutes do you check your phone?
Immediately
 5 min
 15 min
 30 min
  1 hour

11. Do you think there are any medical side effects of using a mobile?
1. Yes
2. No
If YES, what can be the possible side effects?

12. How do you feel yourself addicted to your smartphone?

 Non-addictive

 Slightly-addictive

 Moderately-addictive

 Very-addictive

 Extremely-addictive

SECTION 2

1. What do you do if your phone is not in the same room with you?
 Search for my phone
 Sleep
 Read any available book or any reading material
 Clean the room

2. Your vacation spot does not have cellular service. Do you still go on
vacation?
 Yes
 NO

3. Your new job says you cannot have cellphones on during the workday. What
do you do?
 Yes
 NO

4. I feel restless when my mobile is not around me

  Strongly Agree
 Agree
 Agree nor Disagree
 Disagree
 Strongly Disagree

5. I need my mobile when I feel lonely

 Strongly Agree
 Agree
 Agree nor Disagree
 Disagree
 Strongly Disagree

6. Do you use your phone to check the time?

 Yes
 NO

7. Do you call or text someone in the same house as you?

 Yes
 NO

8. Do you lose track of time using your phone?

 Yes
 NO

9. Do you use your phone in the middle of the night?

 Yes
 NO

10. Do you have your phone when you are eating?

 Yes
 NO

11. Do you have to check your phone as soon as it makes a noise?

 Yes
 NO

12. Do you check your phone even when nothing is happening?

 Yes
 NO

13. Where is your phone right now?

(If you are able to answer this question just by glancing into one of
your hands right now, you may be a phone addict)

Answering yes to a few these questions may not indicate that you are a phone
addict, but if you answered yes to a majority of them, then you may want to take a
closer look at just what you are using your smartphone for and realize that you
may have an addiction problem so that you can take some steps to try to get some
of your old life back.

How many times you check your phone in a day?

1. Do you use your phone in the middle of the night?

Do you check your phone 5 min before bed?

Do you sleep with your phone in your hand or near your bed?

Do you sleep with your cell or smartphone (turned on) under your pillow or next to your bed
regularly?

MORNING SECTION

How many hours do you sleep?

Do you check your phone straight away when you wake up?

As you wake up, within how many minutes do check your phone?

What is the first thing you check when you unlock your phone?

Have you checked your phone on the toilet?

Have you used your phone is the shower?

Do you check your phone when your bored?

Have you tried to limit your phone usage?

Did it work?

Do you check your smartphone while speaking with family and friends?

Does friends/family complain about your smartphone usage?

Do you feel uneasy when you leave your phone at home?

Have you ever met any accident due to usage of mobile phone?

Do sometimes you feel that your phone has vibrated or rung when it hasn’t?

When your cell or smartphone rings, beeps or buzzes, do you feel an intense urge
to check for texts, tweets, emails, updates, etc.?
How many times do you unlock your phone in a Day?

Do you find yourself mindlessly checking your cell or smartphone many times a day, even when you know
there is likely nothing new or important to see?

Have you broken your cellphone due to anger because it was not responding?

When you feel stressed, do you prefer to listen music?

How many cellphones you have at this time?

Are you wondering how time has suddenly passed while you are playing with a cellphone?