PRE-SURVEY QUESTIONNAIRE

Online Gaming Addiction and its Relationship to

The Behavioral Well-being of the Youth

Pre-Survey Questionnaire

This questionnaire will serve to find out who are the youth including the teenager (13-19yrs. Old)
and adolescent (19-24yrs. Old) that is addicted in online gaming.

1. Do you like to play online games?

A. Very Much B. Sometimes C. Not Really

2. How often do you play online games?

A. Daily B. Weekly C. Monthly

3. How much time do you spend in playing online games a week?

A. 2-3 hours B. 5-6 hours C. 8 hours and beyond

4. What types of games do you play?

A. Actions (Counter Strike and all fighting games)

B. Adventure (King Quest)

C. Simulation (Rebel Assault)

D. Sports (NBA Jam)

E. Strategy/ Puzzle (Tetris)

F. MOBA (Mobile Legends)

5. Why do you play the games you choose from question number 4?

A. For relaxation.
 B. It challenge my mind.

C. It’s such a great feeling to be master or to finish a game.

D. Other (Please Specify): _____________________________

6. How many hours you spend in gaming in just one day?

A. over 12 hours B. 8 hours C. 6 hours D. 2 hours

7. Do you still find time to play even if you’re busy?

A. Yes (Can’t stay away) B. No (Focus on what I should do)

8. Do you need to play online games with increasing amounts of time in order to achieve your
desired excitement?

A. Yes B. No

9. Are you preoccupied with gaming (thinking about it when offline, anticipating your next online
gaming?

A. Yes B. No

10. Have you lied to friends and family members to conceal extent of your online gaming?

A. Yes B. No

11. Do you feel restless or irritable when attempting to cut down or stop online gaming?

A. Yes B. No

12. Have you made repeated unsuccessful effort to control, cut back, or stop online gaming?

A. Yes B. No

13. Do you use gaming as a way of escaping from problems or relieve feelings of helplessness,
guilt, anxiety or depression?

A. Yes B. No

14. Have you lost your relationship to others because of your online gaming habit?
 A. Yes B. No

15. Have you lost some educational or job opportunity because of your online gaming habit?

A. Yes B. No

Research Adapted Questionnaire

ONLINE GAMING ADDICTION AND ITS RELATIONSHIP TO THE BEHAVIORAL

WELL-BEING OF THE YOUTH

Name (optional): _____________________________ Age: __________ Gender:

______________

Please put a check (/) that correspond on how often you perform the statement below. The

assessment below will serve to know your situation as an online gamer. The following questions

will give you an idea of your standing in terms of online gaming. The numbers would identify the

following points: (5) very often, (4) Often, (3) Sometimes, (2) Rarely and (1) Never.
1. ONLINE GAMING ADDICTION QUESTIONNAIRE

Questions Never Rarely Sometimes Often Very Often

(1 ) (2 ) (3) (4 ) (5)

1. I felt addicted to

any online games.

2. I became angry

when unable to play.

3. I feel restless,

moody, depressed or

irritable when

attempting to cut

down or stop playing

online games.

4.I repeatedly made

unsuccessful efforts

to control, cut back,

or stop playing online

games.

5. I stay playing

online games longer

than originally

intended.
Questions Never Rarely Sometimes Often Very Often

(1 ) (2 ) (3) (4 ) (5)

6.Because of my online

gaming, I lost or risked

losing a significant

relationship, job, school

or career opportunity.

.7. I lied to my

family, therapist, and

others about how

much time I spent

playing online games

8. I use online games

as a way of escaping

from problems or of

relieving a dysphoric

mood (e.g., feelings

of helplessness, guilt,

anxiety, and

depression).

9. I feel preoccupied

in playing online

games (think about

previous online
 Questions Never Rarely Sometimes Often Very Often

(1 ) (2 ) (3) (4 ) (5)

activity or next online

session).

10. I feel the need to

play online games

with increasing

amounts of time in

order to achieve

satisfaction.

Time Spent Gaming

1=Less than 30 mns, 2=1/2 to 2 hrs, 3=2 to 3 hrs, 4=More than 3 hrs a day

Questions Monday to Friday Weekends, Holidays

1 2 3 4 1 2 3 4

1.How many hours a day did

you spend playing an online

game?

2. How many hours did you

spend in playing online

game with your co-player in

a week?

3. How many hours did you

play online games in a

week?

4. How often do you think

online game before bed

time?

5. How many hours did you

play online games during

your vacant time?

6. I play online game first as

soon as I come home.

2. BEHAVIORAL WELL-BEING OF THE YOUTH QUESTIONNAIRE

2.1 Language Behavior and Verbal Abusiveness

(1) (2 ) (3) (4) (5)

1. I have been subjected to

harsh and/or insulting

language use in online

gaming.

2. When I encountered

harsh words, I respond to

the language user directly.

3. I speak ill to the

opposite player while I am

playing online game.

4. I used harsh and/or

insulting language directed

at other players when

playing online game.

5. I do tell a lie when I am

playing online game.

2.2 Aggressiveness
Questions Never Rarely Sometimes Often Very Often

(1) (2 ) (3) (4 ) (5 )

1. While playing online

games, if somebody hits

me, I hit her/him back.

2. While playing online

games, if your co-player

provokes you, I will hit

her/him physically.

3. I have fights with others

(e.g. family, friends) over

my time spent on games.

4. I use physical violence

to protect my right as an

online gamer.

5. I unsuccessfully control

my temper resulting to

harm my co-player

physically.
2.3 Stubbornness

Questions Never Rarely Sometimes Often Very Often

(1) (2 ) (3) (4 ) (5 )

1. I get angry to those

person who don't allow me

to play online games.

2. I am angered when

someone disturbed me

while I am playing online

games.

3. I lied to my

parents/family about my

time spent on gaming.

4. I neglect other important

activities (e.g., school,

work, sports) to play

online games.

5. I neglect others (e.g.,

family, friends) because I

am playing online games.