___1-3 hours ___4-6 hours ___7-9 hours ___10-12 hours ___ beyond 12 hours
Where do you go home during school days?
__ at home with parents/guardian
__ bording house
What is you grade point average last semester? ___
For each statement below, please check the number which best reflects your behavior on your studies and relationship with your family in relation with your engagement with computer gaming.
1 – Never true
2 – Rarely true
3 – Sometimes true
4 – Usually true
5 – Always true
| |1 |2 |3 |
|I skip my class just to play computer games | | | |
|I intentionally arrive late for class just to play computer games. | | | |
|After my class, I immediately play computer games. | | | |
|I spend more of my free time playing computer games than studying. | | | |
|I am distracted during my classes because I think about computer games. | | | |
|I talk more about computer game-related topic with friends than school related topics. | | | |
|I play computer games in long hours during exam week. | | | |
|I fail to independently do my homework because of playing computer games. | | | |
|I fail to do and submit my project because of playing computer games.