Name: Age: Sex:

Direction: Put a CHECK () in a box that corresponds to your answer. Select the number that
honestly reflects how frequently you experience these things.

A. Computer Usage
Always Sometimes Never

1. Do you lose hours of sleep in gaming?

2. Do you skip or neglect self-care (eating,

bathing, cleaning, cooking) when gaming?

3. Do you find yourself gaming whenever

you have free time?

4. Have you ever used sick days or vacation

days or skipped work/class just for gaming?

5. Do you eat while gaming or forget to eat

while gaming?

B. Computer Games Character

1. Do you read and watch many game-related

guides, articles and videos according to your
game character?

2. Do you prefer your game character identity

to your own?

3. Do you feel irritated when you lose in a game

with your favourite character?

4. Do you ever regret the amount of money you

spent just to buy a new character?

5. Has gaming taken the place of any hobbies

or sports you used to enjoy?

C. Computer Games Software

1. Do you find computer games as a distraction

to your daily routine?

2. Do you reach your goal in playing computer games?

3. Do you push your friends to play computer games?

4. Do you often relive computer games experiences or

think about future ones?

5. Do you ever had a moment when you really wanted

to stop computer?