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How does social media affect the mental health and self-concept of the youth today?
Dear Sir or Madam, please take a few minutes of your time to complete the following questionnaire.
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1
How old are you?
Select one answer
16
17
2
Do you have any form of social media?
Select one answer
Yes
No
3
When did you first get access to social media?
Select one answer
younger than 8 years old
8-10 years old
10-12 years old
12-14 years old
14-16 years old
16+ years old
4
How long do you spend on social media per day?
Select one answer
less than an hour
1-2 hours
2-3 hours
3-4 hours
4-5 hours
5-6 hours
6+ hours
5
What apps do you use the most?
Select all that apply
TikTok
Instagram
Facebook
Snapchat
Youtube
Other (please specify)
6
Do you find it difficult to take a break off social media?
Select one answer
Yes, all the time
Most the time
Sometimes
No, never
7
Would you say your addicted to social media?
Select one answer
Yes
No
8
Does social media affect your mental health?
Select one answer
Yes
Sometimes
No
9
Have you ever been a victim of online bullying?
Select one answer
Yes
No
10
Do you agree that social media portrays unrealistic body images?
Select one answer
Strongly agree
Agree
Neutral
Disagree
Strongly disagree
11
Have you ever compared yourself to someone you have seen online?
Select one answer
Yes
No
12
Have you ever used photoshop/ editing tools on photos/videos you have posted?
Select one answer
Yes, always
Usually
From time to time
Rarely
No, never
13
Do you agree with the following statement: Social media has caused me to have a negative body image.
Select one answer
Strongly agree
Agree
Neutral
Disagree
Strongly disagree
14
How does excessive use of social media make you feel?
Select all apply
Lonely/ FoMo
Unmotivated
Self-conscious
Happy
Depressive
Tired
Anxious
Entertained
Other (please specify)
15
On a scale of 1 to 10 how much would you say social media has affected your mental health and self-concept
1 being least affected, 10 being most affected
1
2
3
4
5
6
7
8
9
10
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