# AI-Generated Form # Not affiliated with, endorsed by, or derived from any form platform # This form was created by AI using only public survey topic metadata # (title + industry/category) as inspiration. It is an original adaptation # and does not copy, extract, or use proprietary content from Jotform, # Google Forms, ODK Collect, Tally, Formbricks, Cloudflare, or any other # form creation, data collection, or survey platform. # Released under CC BY 4.0. You are free to use, modify, and even sell # forms derived from it - just give credit. # Contact: form@gic.mx inputSchema: type: object properties: title: Smartphone Addiction Assessment pages: - id: 1 name: phone_usage label: How many hours a day do you spend on your phone? hint: Please specify the hours type: text options: [] required: true - id: 2 name: phone_usage_frequency label: How often do you use your phone during the day? hint: null type: text options: [] required: false - id: 3 name: screen_quality label: What kind of content do you usually watch or read on your phone? hint: null type: text options: [] required: false - id: 4 name: phone_sleep label: Do you wake up in the middle of the night to check your phone? hint: null type: select_one options: - 'Yes' - 'False' required: false - id: 5 name: phone_addiction label: Do you feel like you are addicted to your phone? hint: null type: select_one options: - 'Yes' - 'False' required: false - id: 6 name: phone_impacts label: Which of the following impacts do you experience related to your phone use? hint: null type: select_multiple options: - Stress - Anxiety - Depression - Social isolation required: false - id: 7 name: phone_impacts_frequency label: How often do you experience these impacts? hint: null type: select_one options: - Every day - Occasionally - Rarely required: false - id: 8 name: phone_impacts_severity label: How severe do you feel these impacts are? hint: null type: select_one options: - Severe - Moderate - Mild required: false - id: 9 name: phone_goals label: What are your goals for managing your phone use? hint: null type: text options: [] required: false - id: 10 name: phone_strategy label: What strategies do you currently use to manage your phone use? hint: null type: text options: [] required: false - id: 11 name: phone_support label: Have you sought support for your phone use? hint: null type: select_one options: - 'Yes' - 'False' required: false - id: 12 name: phone_support_source label: From whom did you seek support? hint: null type: text options: [] required: false - id: 13 name: phone_support_frequency label: How often do you seek support? hint: null type: select_one options: - Every day - Occasionally - Rarely required: false - id: 14 name: phone_support_effectiveness label: How effective do you feel seeking support was? hint: null type: select_one options: - Highly effective - Slightly effective - Not effective required: false - id: 15 name: phone_self_assessment label: How do you assess your phone use? hint: null type: text options: [] required: false - id: 16 name: phone_comments label: Any additional comments? hint: null type: text options: [] required: false - id: 17 name: phone_awareness label: How aware are you of the impact of your phone use? hint: null type: select_one options: - Highly aware - Somewhat aware - Not aware required: false - id: 18 name: phone_control label: How much control do you feel you have over your phone use? hint: null type: select_one options: - Highly in control - Somewhat in control - Out of control required: false - id: 19 name: phone_concern label: How concerned are you about your phone use? hint: null type: select_one options: - Highly concerned - Somewhat concerned - Not concerned required: false - id: 20 name: phone_cognitive_benefits label: Have you noticed any cognitive benefits from your phone use (e.g. improved focus, memory, or cognitive flexibility)? hint: null type: select_one options: - 'True' - 'False' required: false - id: 21 name: phone_emotional_benefits label: Have you noticed any emotional benefits from your phone use (e.g. reduced stress, improved mood)? hint: null type: select_one options: - 'True' - 'False' required: false - id: 22 name: phone_social_benefits label: Have you noticed any social benefits from your phone use (e.g. increased social connections)? hint: null type: select_one options: - 'True' - 'False' required: false - id: 23 name: phone_physical_benefits label: Have you noticed any physical benefits from your phone use (e.g. improved sleep, exercise, or physical activity)? hint: null type: select_one options: - 'True' - 'False' required: false - id: 24 name: phone_other_benefits label: Have you noticed any other benefits from your phone use? hint: null type: select_one options: - 'True' - 'False' required: false - id: 25 name: phone_other_benefits_details label: If yes, please specify what other benefits you have noticed? hint: null type: text options: [] required: false - id: 26 name: phone_other_impacts label: Have you noticed any other impacts from your phone use? hint: null type: select_one options: - 'True' - 'False' required: false - id: 27 name: phone_other_impacts_details label: If yes, please specify what other impacts you have noticed? hint: null type: text options: [] required: false - id: 28 name: phone_other_goals label: Have you set other goals for managing your phone use? hint: null type: select_one options: - 'True' - 'False' required: false - id: 29 name: phone_other_goals_details label: If yes, please specify what other goals you have? hint: null type: text options: [] required: false - id: 30 name: phone_other_strategies label: Have you employed other strategies to manage your phone use? hint: null type: select_one options: - 'True' - 'False' required: false - id: 31 name: phone_other_strategies_details label: If yes, please specify what other strategies you have used? hint: null type: text options: [] required: false - id: 32 name: phone_other_support label: Have you sought other support? hint: null type: select_one options: - 'True' - 'False' required: false - id: 33 name: phone_other_support_details label: If yes, from whom did you seek support? hint: null type: text options: [] required: false - id: 34 name: phone_other_support_frequency label: Phone Other Support Frequency hint: null type: select_one options: - Every day - Occasionally - Rarely required: false - id: 35 name: phone_other_support_effectiveness label: Phone Other Support Effectiveness hint: null type: select_one options: - Highly effective - Slightly effective - Not effective required: false - id: 36 name: phone_other_self_assessment label: Phone Other Self Assessment hint: null type: text options: [] required: false - id: 37 name: phone_other_comments label: Phone Other Comments hint: null type: text options: [] required: false