PERSONAL DATA Gender Male Female Age: ___ How many hours per week do you use computers?

s? ____ Hours per week for work ____ Hours per week for spare time Is the social network necessary for your education? No Rarely Sometimes Always Do you consider for yourself the usage of the social network as an addiction or dependency? Yes No Dont know How would you look for help if you would be addicted or dependent from the usage of the social network? Not at all Through the internet Self-help group near your residence Help from your social environment Other help (please specify) : ________ With how many different people do you communicate regularly via the Internet? person(s). How many new acquaintances have you made solely on the Internet? person(s). How many of them (answer of 1.2) did you meet personally? person(s). Has the usage of the Internet (social network) influenced your life in a negative way? NO RARELY SOMETI MES OFTEN ALWAY S

work/university/ school (e.g. affecting work, missing appointments, being late). financial (e.g. costs of online-services). social life (e.g. meeting friends, recreational activities, going out). family life (e.g. relationship with partner, children). For how long have you been using the social network?
Less than 6 months 6-12 months 1-2 years 3 years or more

How has your usage of the social network changed over the last year?
Strongly increase Strongly increase Slightly increase Constant Slighty decrease Strongly decrease

How often do you check your social network account? Never

Rarely Few times a day Daily More than 5 times daily Always online

How often does the social network replace anyone of the following activities or pastimes for you?
Watching TV o o o o Never Time to time Often Always

Reading newspaper o o o o Never Time to time Often Always

Research in libraries o o o o Never Time to time Often Always

Do you ask on the social network for psychological, medical or religious advice?
Never Rarely

Time to time Often Always

Do you feel a strong necessity to go onto the social network when you are not online?
No Rarely Often Always

Do you ever feel guilty or depressed after using the social network for a long time?
No Rarely Often Always

Does the social network play any role in your dreams?

No Rarely Often Always

Are you thinking about what is happening on the social network itself when you are not using it?
No Rarely Often Always

Have you ever lied to your friends about the time you've spent on the social network?
No Rarely often always

Have you deliberately restricted your social network usage due to previously excessive use?
No Rarely Often Always

Have you ever lost track of time when you are using the social network ?
No Rarely Often Always

How often has anyone complained that you spend too much time on the social network?
No Rarely Often Always