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Appendix A
Survey Question Form
Choose only one option that fits your answer to each questions
below.
1. Age:______
2. Gender:___________
3. What is your average grade (in all subjects)?
o 75-80
o 81-85
o 86-90
o 91-100
4. How much time do you spend studying or doing schoolwork?
o Less than 30 minutes
o 30 minutes to less than an hour
o 1-2 hours
o 2-3 hours
o More than 3 hours
5. How frequent do you study?
o The day before the exam or quiz
o Daily
o Three times a week
o Only when I want to or feel to
6. In which communication channel do you used the most? When
you are contacting or communicating with your friends?
o Facebook
o Messengers (Skype, Yahoo, Google etc.)
o Mobile phone (SMS & Call)
o Other Social Network Services
7. How do you spend free time?
o Reading books
o Sports/Games
o Facebook
o Movies/TV
o Others
8. Are you a Facebook user? Yes / No
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Please answer the following questions about your use of

Facebook:
9. On an average day, how much time do you spend on Facebook?
o Less than 30 minutes
o 30 minutes to less than an hour
o 1-2 hours
o 2-3 hours
o More than 3 hours
10. How do you use Facebook for?
o Being connected to friends
o Being connected to my family
o Entertainment
o Educational purpose
o Past time / hobby
11. Please rate how strongly you agree or disagree with the
following statements about your use of Facebook:
(1)Strongly Disagree (2)Disagree (3)Neutral
(4)agree (5)strongly agree

1 2 3 4 5
Facebook has become part of
my daily routine
I lose track of time when I
am on Facebook
Sometimes I go on Facebook
while I am in class
It is a good tool to meet
new people & make new
friends
Using Facebook improves my
study habit
Particularly I use Facebook
to keep in touch with my
friends
I think I might be addicted
to Facebook
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12. Please rate how strongly you agree or disagree with the
following statements about how your use of Facebook impacts
you academically:
(1)Strongly Disagree(2)Disagree(3)Neutral(4)agree(5)strongly
agree

1 2 3 4 5
I use Facebook for break
during my studying or doing
schoolwork
The time I spend on
Facebook takes away from
studying or schoolwork time
If Facebook did not exist,
I would get a lot more
studying and schoolwork
done
Facebook distracts me from
studying or doing
schoolwork
I would be getting better
grades if I spent less time
on Facebook
I am able to control my use
of Facebook so that it does
not interfere with studying
or doing schoolwork