Name (optional):____________________________________________

Age:___ Sex:_______ Civil status:_________________

Types of gadgets you have: ______________

1.Effect of gadgets
1.1 What is the effect of gadgets to you?
o It helps me to my study
o Gadgets makes me feel sleepy on school
o Gadgets help me to communicate to others
Other effects: ______________________________________
1.2 What is the effect of gadgets to your academic performance?
o It helps me to have high grades
o It makes my grade low
o It makes my stress gone
o Distraction
Other effects: _____________________________________
1.3 What is the effect of gadgets to your health?
o My eyes grow dim
o I didn’t have enough sleep
o I have neglected my personal hygiene
o I skip eating meals
Other effects: _____________________________________________
1.4 What is the effect to gadgets to your social life
o loosing time with family and friends
o I no longer do household
o I learned to lie
 o All of the above
1.5 What your experience using gadgets

2. What are the possible solution of the negative effect of gadgets

2.1 Social life
o Spend more time to my family and friends
o I will avoid gadgets every family time
o I will avoid gadgets every time that I am with someone
o All of the about
Other possible solution: __________________________________________
2.2 Academic performance
o Focus on your study
o I will limit using gadgets during weekdays
o I will use gadgets for school purpose
o All if the above
Other possible solution: ___________________________________________
2.3 Health
o I will eat first before using gadgets
o I will sleep in right time
o I will avoid the gadgets every weekdays
Other possible solution: ____________________________________________
2.4 What do you think possible solution to using gadgets?