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QUESTIONNAIRE
About COMPUTER ADDICTION
NAME: __________________________________ AGE: ______ SEX: _________
ADRESS: ___________________________________________________________________________
OCCUPATION(Optional): ____________________________________________
MONTHLY INCOME (Optional): _________________________________
‘’NOTE’’ :This Questionnaire is for RESEARCH STUDY Purpose only and your Answers are
will be Highly CONFIDENTIAL
YES MAYBE NO
4.Do you spend more than three hours a day surfing the Web?
5.Have you ever missed a task because you were too involved
with a non-urgent computer activity?
Thank you for your Cooperation , Your Answers are will be helpful to our RESEARCH STUDY.
GOD BLESS YOU