Internet Addiction Disorder

This survey aims to investigate the levels of syour addiction to the Internet aiming to inform and to raise awareness

It will take you less than 10 minutes to fill the following questionnaire.

Name*

First NameLast Name

Email*

example@example.com

Pin Code *

Street Address

Street Address Line 2

Postal / Zip Code

Gender*

MaleFemaleN/A

Internet usage on average, hours per day in the last 2 months:

1-3 hours4-7 hours>7 hours

Main Questionnaire

Answer the following questions by assigning a score to your answers based on this scale:

1 = not at all (never)

2 = rarely

3 = sometimes

4 = often

5 = always

How often do you find that you stay online longer than you intended?*

How often do you neglect leisure activity to spend more time online*

How often do you prefer the excitement of the Internet to intimacy/relationships with your partner/friends?*

How often do you form new relationships with fellow online users?*

How often do others in your life complain to you about the amount of time you spend online?*

How often do your grades or schoolwork suffer because of the amount of time you spend online?*

How often do you check your e-mail before something else that you need to do?*

How often does your school performance suffer because of the Internet?*

How often do you become defensive or secretive when anyone asks you what you do online?*

How often do you block out disturbing thoughts about your life with soothing thoughts of the Internet?*

How often do you find yourself anticipating when you will go online again?*

How often do you fear that life without the Internet would be boring, empty, and joyless?*

How often do you snap, yell, or act annoyed if someone bothers you while you are online?*

How often do you lose sleep due to late-night logins?*

How often do you feel preoccupied with the Internet when offline, or fantasize about being online?*

How often do you find yourself saying ‘‘just a few more minutes” when online?*

How often do you try to cut down the amount of time you spend online and fail?*

How often do you try to hide how long you’ve been online?*

How often do you choose to spend more time online over going out with others?*

How often do you feel depressed, moody or nervous when you are offline, which goes away once you are back online?*