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1.

On an average day, how much time do you spend online (using internet

or Apps)?
1. No time at all
2. Less than 30 minutes
3. More than 30 minutes and under two hours
4. More than 2 hours
2. On an average day, how many text messages do you send or receive?
1. No text messages
2. 1 to 10 text messages
3. 11 to 20 text messages
4. 21 to 50 text messages
5. 51 to 100 text messages
6. 101-200 text messages
7. More than 200 text messages
3. Have you talked about dating, or someone you have a crush on?
Yes
No
4. Have you talked through a situation that was making you angry or upset?
Yes
No
5. Does it seem to you that the adults in your house take out their
frustrations on each other?
Yes
No
6. Do you ever get the message from a parent that romantic relationships
never work out?
Yes
No
In general, how much time during the past month
All of the time (1)
Most of the time (2)
A good bit of the time (3)
Some of the time (4)
A little of the time (5)
None of the time (6)

7. Have you felt particularly nervous?


8. Have you felt so down in the dumps nothing could cheer you up?
9. Have you felt calm and peaceful?
10. Have you felt downhearted and blue?
11. Have you been happy?

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