RCLS 425 In-Class Questionnaire

The purpose of this evaluation is to explore the RCLS 425 students view of social media use and
its potential relationship with psychological disorders

Thanks you for taking time out of your day to complete this survey. Please know that
participation in this survey is completely voluntary and that the responses are anonymous and
will not be used in any other publication, other than to fulfill the requirements of RCLS 425,
This questionnaire should take approximately five minutes to complete.

For the following questions, please circle one answer.

How many hours per day do you spend on social media?

0-2 3-5 6+
(1) (2) (3)
2. Has social media caused negative issues (e.g, fights) with friends or family?
Yes No
(1) (2)

For each statement below, circle the answer from Strongly Agree (SA) to Strongly
Disagree (SD). Circle one.

1. I feel better about myself after spending time on social media

SD D A SA
(1) (2) (3) (4)

2. My mental health would be better if there was no social media

SA A D SD
(1) (2) (3) (4)

3. My social life would be better if there was no social media

SD D A SA
(1) (2) (3) (4)

4. My productivity would be better if there was no social media

SA A D SD
(1) (2) (3) (4)

5. My mood has changed as a result of social media

SD D A SA
(1) (2) (3) (4)
Please circle whether the questions positively or negatively impacts your life
6. Use of social media apps has affected changes in my mood
Positively Negatively
(1) (2)
7. Use of social media apps has affected changes in my mood
Negatively Positively
(1) (2)

8. Social media has impacted relationship with friends or family

Positively Negatively
(1) (2)
Please circle one that best relates to your view

9. I rely on social media as a source of excitement

Very True True Kind of True Untrue Very Untrue
(1) (2) (3) (4) (5)

10. I rely on social media to cope with boredom

Very True True Kind of True Untrue Very Untrue
(1) (2) (3) (4) (5)

1. What is your exact age? _______

2. What is your gender? Male______ Female_______

(1) (2)

4. What is your current class standing?

Freshman ____ Sophomore ____ Junior ____ Senior____
(1) (2) (3) (4)

5. What is your major? OR______ TR_______ RTM_______

(1) (2) (3)