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MOVERS ACADEMY, INC.

Pob. West, Natividad, Pangasinan, Philippines


Contact Numbers: 09176819627/ 09478719260
Email:moversacademy@yahoo.com.ph
Government Recognition #: PE-014, S.2010 / E-003, S.2013 / SE-009, S.2013 / SH-184, S.
2017

Name (optional):

Age:

Gender:

Please state your level of agreement or disagreement with the following statements. Put a check on
your preferred options.

(A) (B) (C) (D)


Strongly Strongly
Disagree Agree
Disagree Agree
1. You get very angry when someone or something
interrupts a game.

2. You lose hours of sleep to gaming.

3. You have called in sick or late to work or skipped classes


to game.
4. You have learned something that you can use in your
studies from gaming.
5. You forget appointments, responsibilities or deadlines in
work or school when gaming.
6. You become irritated and defensive when people suggest
you might be gaming too much.
7. You gain skills and strategic planning in doing school
works from gaming.
8. You have intense feelings (highs, lows, anger, fear) while
gaming.
9. You feel like gaming helps your eye and hand
coordination that helps you in reading and writing.

10. Your hours spent more on school activities than gaming.

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