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3/8/2019 The Effects of Prolonged Screen Time in Quality of Sleep

The Effects of Prolonged Screen Time in Quality of Sleep


I, Juan Nelson T. Limbo, a researcher from St. Dominic College of Asia Senior High School Grade 12 STEM-
Copernicus is currently conducting a research entitled "The Effects of Prolonged Screen Time In Quality of Sleep" as
part of our requirement in the course Inquiries, Investigation, and Immersion. This survey is conducted among the
senior high school population of having longer screen usage and the effects of long exposure to the quality of sleep.

Rest assured that all your responses on this research instrument will be used for the sole purpose of research
only and will be treated with utmost con dentiality.

Sincerely,

Juan Nelson T.limbo

I. Demographic Pro le

Name: *

Asiao

12-STEM *

Copernicus

Pascal

Age *

17

https://docs.google.com/forms/d/1YZBbD0dF8KVfdCapeR0XG6cbp_nX9wBCZQJmBZ16N4c/edit#response=ACYDBNjAmPqcM3flrScmSJtoJAWnc9… 1/8
3/8/2019 The Effects of Prolonged Screen Time in Quality of Sleep

Sex *

Female

Male

Other:

II. Assessment of Electronic Usage

Option 1

1) What electronic devices do you frequently use? *

Mobile Phones

Tablets

Television

Personal Computer

2) How long do you use electronic devices? *

6 hours and below

6-8 hours

9 and more

https://docs.google.com/forms/d/1YZBbD0dF8KVfdCapeR0XG6cbp_nX9wBCZQJmBZ16N4c/edit#response=ACYDBNjAmPqcM3flrScmSJtoJAWnc9… 2/8
3/8/2019 The Effects of Prolonged Screen Time in Quality of Sleep

3) How often do you complete a night of sleep during weekday? *

Always

Sometimes

Occasionally

Never

4) What time do you regularly sleep? *

6-8 pm

8-10 pm

10-12 pm

12 and onwards

5) What time do you regularly wake up? *

3-5 am

5-7am

7 and onwards

II. A Assessment of Student Behavior

Please choice the number that matches your preference. The numbers ranges from 4-1 that correspond to (4-
Always, 3- Sometimes, 2- Occasionally, and 1- Never). Please Answer the essay portion.

https://docs.google.com/forms/d/1YZBbD0dF8KVfdCapeR0XG6cbp_nX9wBCZQJmBZ16N4c/edit#response=ACYDBNjAmPqcM3flrScmSJtoJAWnc9… 3/8
3/8/2019 The Effects of Prolonged Screen Time in Quality of Sleep

1) Do you ever feel lonely with your friends, despite having them around? *
1 2 3 4

Never Always

In connection to question no.1 why? *


Person I want to be with is rarely there

2) Do you ever notice yourself and your friends using mobile phones during
bonding time? *
1 2 3 4

Never Always

In connection to question no.2 why? *


I respect the time people spare to spend with me so I rarely use phones

3) Is there any situation where you feel obligated to know everything your
friends post in social media? *
1 2 3 4

Never Always

In connection to question no. 3 why? *


None of my business

https://docs.google.com/forms/d/1YZBbD0dF8KVfdCapeR0XG6cbp_nX9wBCZQJmBZ16N4c/edit#response=ACYDBNjAmPqcM3flrScmSJtoJAWnc9… 4/8
3/8/2019 The Effects of Prolonged Screen Time in Quality of Sleep

4) Does your family able to bond regularly? *


1 2 3 4

Never Always

In connection to question no. 4 why? *


It just happens spontaneously

5) As a busy senior high school student, are you still able to communicate
well with your parents? *
1 2 3 4

Never Always

In connection to question no. 5 why? *


It's not like I have to hide anything

6) In times you feel lonely causes by your friends and family, do you use any
electronic devices to relieve the loneliness you feel? *
1 2 3 4

Never Always

In connection to question no.6 why? *


I can search up things I like to forget about my worries

https://docs.google.com/forms/d/1YZBbD0dF8KVfdCapeR0XG6cbp_nX9wBCZQJmBZ16N4c/edit#response=ACYDBNjAmPqcM3flrScmSJtoJAWnc9… 5/8
3/8/2019 The Effects of Prolonged Screen Time in Quality of Sleep

7) How often do you feel stress about certain thing or situation, that leads
to posting in social media sites to relieve stress? *
1 2 3 4

Never Always

In connection to question no.7 why? *


I almost never post on social media except when needed

II B. Assessment of Student Behavior

Please choice the number that matches your preference. The numbers ranges from 4-1 that correspond to (4-
Strongly Agree, 3- Agree, 2- Disagree, and 1- Strongly Disagree). Please Answer the essay portion.

1) Do you think feeling isolated in real life has an effect to use electronic
devices more? *
1 2 3 4

Strongly
Strongly Agree
Disagree

In connection to question no.1 why? *

https://docs.google.com/forms/d/1YZBbD0dF8KVfdCapeR0XG6cbp_nX9wBCZQJmBZ16N4c/edit#response=ACYDBNjAmPqcM3flrScmSJtoJAWnc9… 6/8
3/8/2019 The Effects of Prolonged Screen Time in Quality of Sleep

2) Do you think stress makes you use social networking sites? *


1 2 3 4

Strongly
Strongly Agree
Disagree

In connection to question no.2 why? *

Option 1

III. Perceived Effects of Screen Time

Please choice the number that matches your preference. The numbers ranges from 4-1 that correspond to (4-
Always, 3- Sometimes, 2- Occasionally, and 1- Never).

1) After a short duration of sleep or disruptive sleep do you nd yourself


having di culty in attending cognitive driven tasks? *
1 2 3 4

Never Always

2) Do you nd yourself dizzy after an incomplete night or disruptive sleep? *


1 2 3 4

Never Always

https://docs.google.com/forms/d/1YZBbD0dF8KVfdCapeR0XG6cbp_nX9wBCZQJmBZ16N4c/edit#response=ACYDBNjAmPqcM3flrScmSJtoJAWnc9… 7/8
3/8/2019 The Effects of Prolonged Screen Time in Quality of Sleep

3) Do you nd yourself no body strength after a incomplete night or


disruptive sleep? *
1 2 3 4

Never Always

4) How often do you get sick after not acquiring a complete night of sleep?
1 2 3 4

Never Always

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