The following form represents the survey that was sent out to Swarthmore students in our study in April/May 2000. Starting May 2000 we will be conducting an informal, ongoing online survey with the same questions, minus those related to Swarthmore College specifically.

Feel free to submit the survey (only once, please). All information provided will be held in the strictest confidence and will only be revealed in statistical form. Even though this is the case, you may choose to leave blank any questions you find too intrusive. The results will be posted periodically.

Again, please submit this form only once - you need only click "Submit" once. This page uses your default mail handler to submit the questionairre. If there is no default mail program on your computer, you will not be able to complete it. We apologize for any difficulty this may cause.

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What is your gender? male female

What is your class year?
[not used for online survey]

What area of the United States, or what country are you from?

What is the approximate income of your household?

How would you identify yourself racially?

How many hours do you generally spend using the computer on an average day?

Please gague the relative amount of time you spend doing the following activities on the computer:

0 = no time
1 = a little time only
2 = a fair bit of time
3 = a lot of time

play games 0 1 2 3
if, so are they network games or non-ntework games? network non-network

write papers 0 1 2 3

do research via the internet or otherwise 0 1 2 3

surf the web 0 1 2 3
if so, do you download pornography? yes no

create art 0 1 2 3

chat via ICQ, Instant Messengers, or other means 0 1 2 3

usenet 0 1 2 3

searching for mp3s 0 1 2 3

download software 0 1 2 3

online financial trading 0 1 2 3

other (please describe below) 0 1 2 3

Do you use a PC or a Macintosh computer? PC Mac other

How do you generally communicate with your friends? email telephone face to face

How do you generally communication with your family when you are at Swarthmore?
[not used for online survey]

When did a computer first become regularly accessible to you?

When did you first use a computer frequently, if ever?

How dependent do you feel that you are upon computers? not at all slightly moderately extremely dependent

How do you feel computers have affected your ability to socialize? positively negatively no impact

Use the following reference to answer the remaining questions:

0 = not at all
1 = a little
2 = moderately
3 = markedly
4 = extremely

Over the past week, how much did you:

feel depressed, sad, low, or down? 0 1 2 3 4

feel less interested in things or less able to enjoy the things you used to enjoy? 0 1 2 3 4

have a change in appetite or weight? 0 1 2 3 4

have trouble sleeping (difficulty falling asleep, waking up in the middle of the night, early morning awakening or sleeping excessively)? 0 1 2 3 4

talk or move more slowly than normal or feel fidgety, or restless? 0 1 2 3 4

feel tired or without energy? 0 1 2 3 4

feel worthless or guilty? 0 1 2 3 4

have difficulty concentrating or making decisions? 0 1 2 3 4

have thoughts of hurting yourself, feeling suicidal, or wishing that you were dead? 0 1 2 3 4

Over the past week, how much did you suffer from:

fears or embarrassment at being watched, being the focus of attention, or of being humiliated? This includes things like speaking in public, eating in public or with others, writings while someone watches, or being in social situations. 0 1 2 3 4

this fear being excessive or unreasonable? 0 1 2 3 4

having to avoid these social situations or suffer through them? 0 1 2 3 4

this fear disrupting your normal work or social functioning or causing you significant distress? 0 1 2 3 4