QUESTIONNAIRE FOR THE STUDENTS

Part I. Profile

NAME:___________________________________________________________

Sex: [ ] Male [ ] Female

Age: [ ] 11-12 y.o. [ ] 13-14 y.o. [ ] 15-16 y.o. [ ] 17 y.o. & above

Part II. Please answer the following questions honestly using the rating scale below:

Rating Scale Description/Implication

A Always/5 times a week during school days
O Often/3-4 times a week during school days
S Sometimes/1-2 times a week during school days
N Never/O times a week

Please tick the appropriate box.

Statement Always Often Sometimes Never

The vices that I engaged in:

Gaming Addiction
How frequent did you participate [] [] [] []
online game activities each week?
Excessive Online Shopping
How many times per week did you
[] [] [] []
online shopped?
Excessive Social Media
How frequent did you participate social
media activities each week? [] [] [] []
Caffeine Consumption
How frequent did you consume coffee?
[] [] [] []
1. I started vices at age: 11-12 13-14 15-16 17 & above
Gaming Addiction [] [] [] []
Online Shopping [] [] [] []
Social Media [] [] [] []
Caffeine Consumption [] [] [] []

2. List of reasons why I engaged vices:

For pleasure only [ ] I felt inferior [ ]
For curiosity [ ] I liked and enjoyed it [ ]
I am distressed [ ] My parents tolerated of using it [ ]
For experience only [ ]

Daily Allowance: