1. Gender :
Male Female

2. Class Year :
2006 2007 2008 2009 2010 2011

3. Do you play computer/video games?

Yes No

If no, skip to question 7.

4. What type of games do you play?

Computer Games
Video Games
Others

5. List the names of the games that you play most often:

6. How many hours do you spend on playing games a week?

1-4
5-8
9-12
13-16
17+

7. How many hours do you spend on studying a week?

0-5
6-10
11-15
15-20
20+

8. What other activities do you also take part in?

Sports Dance/Theater Music/Performance

9. What is your current GPA?

10. Other remarks/comments?