You are on page 1of 7

3/29/23, 12:18 AM Untitled form

Untitled form

1. Name

2. Gender

Mark only one oval.

Male

Female

3. Age

Mark only one oval.

18 or Younger

18-24

24-34

34-45

Above 45

4. You prefer which mode of game?

Mark only one oval.

Phisical Game

Video Game

https://docs.google.com/forms/d/1hEo8YuB85MzMRRDIaeRGrW8vmVaIqa0eHkBp4tPIzjs/edit 1/7
3/29/23, 12:18 AM Untitled form

5. Which type of physical game would you prefer?

Mark only one oval.

Hockey

Cricket

Foot Ball

Volley Ball

Basket Ball
Other:

6.  Which of the following devices have you used play video games?  

Mark only one oval.

Computer

Smartphone

Laptop

Playstation

7. What types of games do you play on video games?

Mark only one oval.

Action

Adventure

Strategy

Simulation

Sports

https://docs.google.com/forms/d/1hEo8YuB85MzMRRDIaeRGrW8vmVaIqa0eHkBp4tPIzjs/edit 2/7
3/29/23, 12:18 AM Untitled form

8.  How often do you play video games? 

Mark only one oval.

Daily

Weekly

Monthly

9.  Roughly how hours do you spend playing video games each day  

Mark only one oval.

Below 30minutes

1hours

2hours

3hours

Above 3hours

10.  Why do you play video games you checked above  

Check all that apply.

I like the graphics / Realistic


It changes my mind
I’ll playing anything when I’m bored
I play to relieve stress
I play for the story/narrative game

11. Which one you would like to play in physical game?

Mark only one oval.

Indoor

Outdoor

https://docs.google.com/forms/d/1hEo8YuB85MzMRRDIaeRGrW8vmVaIqa0eHkBp4tPIzjs/edit 3/7
3/29/23, 12:18 AM Untitled form

12. Which factor influence you to choose physical game?

Mark only one oval.

Good for health

Stress buster

Play with multiple people

Can't be sit in idle

13.  Do you like to play mobile games/computer games?  

Mark only one oval.

Very much

Sometime

Not really

Not at all

14. Evolution of video game affects the human health

Mark only one oval.

Strongly agree

Agree

Neutral

Disagree

Strongly disagree

https://docs.google.com/forms/d/1hEo8YuB85MzMRRDIaeRGrW8vmVaIqa0eHkBp4tPIzjs/edit 4/7
3/29/23, 12:18 AM Untitled form

15. The video game is increasing our creative thinking

Mark only one oval.

Strongly agree

Agree

Neutral

Disagree

Strongly disagree

16. The video game is affect our brain function of children

Mark only one oval.

Strongly agree

Agree

Neutral

Disagree

Strongly disagree

17. Evolution of mobile phones influence the people to play video game

Mark only one oval.

Strongly agree

Agree

Neutral

Disagree

Strongly disagree

https://docs.google.com/forms/d/1hEo8YuB85MzMRRDIaeRGrW8vmVaIqa0eHkBp4tPIzjs/edit 5/7
3/29/23, 12:18 AM Untitled form

18. Do you feel frustrated when parent stop your video game

Mark only one oval.

Yes

No

19. What do you do instead of playing video games?

Mark only one oval.

Watch TV

Reading books

Playing physically with friends

Spending time on social media


Other:

20.  What made you do addict in video games?  

Mark only one oval.

Loneliness

Time pass

Not interested in physical activities


Other:

This content is neither created nor endorsed by Google.

 Forms

https://docs.google.com/forms/d/1hEo8YuB85MzMRRDIaeRGrW8vmVaIqa0eHkBp4tPIzjs/edit 6/7
3/29/23, 12:18 AM Untitled form

https://docs.google.com/forms/d/1hEo8YuB85MzMRRDIaeRGrW8vmVaIqa0eHkBp4tPIzjs/edit 7/7

You might also like