A.

Background Information

1. Age: Please Specify your age:_____

2. Gender: ( ) Male
( ) Female

3. Grade Level ( ) 11
( ) 12

4. Family Income (Monthly)

( ) Php 3,000 and below
( ) Php 3,001 to Php 6,000
( ) Php 6,001 to Php 9,000
( ) Php 9,001 to Php 12,000
( ) Php 12,001 to Php 15,000
( ) Php 15,001 to Php 18,000
( ) Php 18,001 and above

5. Educational Attainment of Parents

( ) Elementary Level
( ) Elementary Graduate
( ) High School Level
( ) High School Graduate
( ) College Graduate
( ) Other

6. Track/ Strand
( ) Academic
( ) GAS
( ) HUMSS
( ) TVL
( ) Home Economics
( ) EIM
( ) SMAW

7. Address:_____________________________________________________
(Please indicate your current address)
 B. Level of Internet Dependency

Are you an internet user?

( ) Yes ( ) No
Do your parents provide you mobile gadgets?
( ) Yes ( ) No
How often do you use the internet?
( ) Often ( ) Almost Always
( ) Sometimes ( ) Always
Do you have self limitation in using the internet?
( ) Yes ( ) No
Purpose of Internet use:
( ) Entertainment ( ) Educational ( ) Information
( ) Entertainment & Educational ( ) Educational & Information
( ) Information & Entertainment ( ) All three
In what way do you connect to the internet?
( ) Personal Wifi ( ) Piso Wifi ( ) Data
How much is your Wi-Fi/ data budget weekly?
( ) Php 30 ( ) Php 70
( ) Php 50 ( ) Php 100 and above
How dependent are you on Internet?
( ) Not Dependent ( ) Dependent
( ) Somewhat Dependent ( ) Very Dependent
Are you google dependent?
( ) Yes ( ) No ( ) Sometimes