Survey Form

Initials:
Age:
Gender:
Grade level:

Instructions: Shade the circle of the option you want to choose from below.

Title: Impact of hobbies on a student’s mood.

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Questions: 5 4 3 2 1

Most likely Semi Likely Neutral Semi Not Likely I don’t want

1. Do you like playing Videogames?

2. Out of all the hobbies to choose from,

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would you say videogames are your favorite?

3. Do you still play videogames very late at night?

4. Do you still play videogames even

after your parents told you to stop?

5. Do you play videogames more than

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studying?
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