I.

Instructions: Below is a set of questions to be answered for survey purposes about the
Effects of Technology to Family Relationship of some students in FAITH. Rest assured that
the gathered data would be kept with high confidentiality and will be used for research
purposes only. Put a checkmark (/) on the space provided that corresponds to your answer.

Name (optional): ________________________

Year Level and Course: ___________________

Type of gadgets you frequently use:

Cell phone ____ Laptop ____ Computer ____ Others ____

Number of hours you use your gadgets per day:

2-4 hours ____ 5-7 hours ____ More than 8 hours ____

II. Using the scale below put a checkmark (/) on the space provided that corresponds to your
answer.
5 - Strongly agree 4 – Agree 3 – Neutral 2 - Fairly Disagree 1 – Disagree

Technology . . . 5 4 3 2 1
1. helps me to coordinate sudden change of plans with
my family.
2. aids in quickly reaching family members in case of
emergency.
3. supports with having a virtual presence through
video calls among family members who are at
faraway places.
4. lead to a change in the way family members interact
with one another.
5. promotes independence and singularity or being used
as means of socializing and connecting with the
family.
6. facilitates laziness on doing chores or responsibilities
at home.
7. serves as a barrier on face-to-face communication on
any member of the family.
8. distance my feelings with my family.
9. makes me lose my family time.
10. serves as a hindrance on healthy development of
child relation to his/her parent.