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Academic Research Survey · Featured

Explore Social Media's Impact on Student Mental Health

Collect anonymous research data on college students' social media habits and their effects on mental health, sleep, and academic performance.

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formbuilder.ai/f/college-student-social-media-usage-mental-health-impact-research-survey

College Student Social Media Usage & Mental Health Impact Research Survey

Full Name (Optional)

· · ·

University Email Address

· · ·

Age Range

Submit

This College Student Social Media Usage & Mental Health Impact Research Survey template is designed for academic researchers, psychology departments, and student health organizations seeking to understand the relationship between social media behavior and student well-being. The form captures essential demographic data, platform usage patterns, and self-reported mental health perceptions in a structured, confidential format.

The survey guides respondents through three key sections: demographic background for research classification, detailed social media usage habits over the past 30 days, and perceived mental health impacts including anxiety, self-comparison, sleep quality, and emotional well-being. All questions are carefully framed to encourage honest, anonymous responses without judgment.

Whether you're conducting a thesis study, a university wellness initiative, or a broader public health research project, this ready-to-use template saves time and ensures data consistency. Customize it to fit your institution's IRB requirements and start collecting meaningful insights today.

4 Pages

20 Questions

~7min To complete

Free No credit card needed

Field types Likert Scale ×5 Single Choice ×4 Dropdown ×3 Multiple Choice ×2 Full Name Email Scale Rating Yes / No Long Text termsandconditions

Questions in this template

Free template

The exact questions included — customize any of them to fit your needs.

Page 1 Demographics & Background Information 6 questions

Demographics & Background Information

This section collects basic demographic data for research classification purposes. All responses are anonymous and confidential.

1 Full Name (Optional) Full Name

2 University Email Address Email

3 Age Range * Dropdown

4 Gender Identity * Single Choice

5 Year of Study * Dropdown

6 Are you currently enrolled full-time? * Single Choice

Page 2 Social Media Usage Patterns 4 questions

Social Media Usage Habits

Please answer the following questions based on your typical social media behavior over the past 30 days.

1 Which social media platforms do you actively use? * Multiple Choice

2 On average, how many hours per day do you spend on social media? * Dropdown

3 When do you most frequently use social media? * Single Choice

4 Do you use social media during lectures or study sessions? * Single Choice

Page 3 Mental Health & Well-Being Impact 6 questions

Perceived Mental Health Impact

This section explores how social media may affect your emotional well-being, self-perception, and academic performance. There are no right or wrong answers.

1 Using social media generally makes me feel positive about myself * Likert Scale

2 I often compare myself to others based on what I see on social media * Likert Scale

3 Social media use has negatively affected my sleep quality * Likert Scale

4 I have experienced feelings of anxiety or stress related to social media * Likert Scale

5 Social media has negatively impacted my academic performance * Likert Scale

6 On a scale of 1-10, how would you rate your overall mental well-being currently? * Scale Rating

Page 4 Coping Strategies & Final Reflections 4 questions

Coping Strategies & Additional Insights

1 Have you ever taken any of the following steps to manage your social media use? * Multiple Choice

2 Do you believe your university should offer resources to help students manage social media use and its mental health effects? * Yes / No

3 Is there anything else you would like to share about how social media has affected your mental health, relationships, or academic life? Long Text

4 I confirm that I am participating voluntarily and understand that my responses will be used solely for academic research purposes. * termsandconditions

How to use this template

Click "Use This Template Free" to open it in the FormBuilder editor. From there you can add, remove, or reorder fields with drag-and-drop, switch themes for instant restyling, add your logo, configure email notifications, and set your success message. When ready, publish with a unique link and start collecting responses immediately.