Undergraduate Student Smartphone Dependency & Academic Performance Research Survey
Full Name (Optional)
· · ·
University Email Address
· · ·
Gender
Submit
This Undergraduate Student Smartphone Dependency & Academic Performance Research Survey is a comprehensive academic research tool designed to help researchers, faculty, and student investigators gather meaningful data on how smartphone use influences study habits, concentration, and overall academic outcomes among college students.
The survey is organized into clear sections covering demographics and academic background, daily smartphone usage patterns, dependency indicators such as anxiety when disconnected and time loss, and the perceived academic impact of smartphone use. With fields for GPA range, year of study, and major, researchers can analyze correlations across diverse student populations while maintaining respondent anonymity.
Ideal for psychology, education, and communication studies departments, this template saves hours of form-building time and ensures data is collected in a structured, analysis-ready format. Customize it to match your institution's IRB requirements and deploy it digitally for fast, effortless data collection.
4Pages
22Questions
~7minTo complete
FreeNo credit card needed
Field types
Likert Scale ×6
Dropdown ×5
Single Choice ×3
Long Text ×2
Full Name
Email
Short Text
Multiple Choice
NPS Score
termsandconditions
Questions in this template
Free template
The exact questions included — customize any of them to fit your needs.
Please rate your level of agreement with the following statements regarding how smartphone use affects your academic life.
1
My smartphone usage negatively affects my ability to concentrate on studying
*Likert Scale
2
I have missed assignment deadlines or performed poorly on exams due to smartphone distractions
*Likert Scale
3
I believe reducing my smartphone usage would improve my academic performance
*Likert Scale
4
I have tried to limit my smartphone use during study periods but found it difficult
*Likert Scale
5
Have you ever used screen-time management tools or apps to reduce smartphone usage?
*Single Choice
6
On a scale of 0–10, how dependent do you consider yourself on your smartphone?
*NPS Score
Page 4Reflections & Consent3 questions
Section 4: Open Reflections & Consent
1
In your own words, how do you think smartphone usage has influenced your academic performance (positively or negatively)?
Long Text
2
What strategies, if any, do you use to manage smartphone distractions during academic activities?
Long Text
3
I confirm that I am 18 years or older, I understand that my responses are anonymous, and I consent to my data being used for academic research purposes only.
*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.
Ready-to-use structure — pre-configured fields out of the box
Applied "Aura" theme — fonts, colors, and layout already set
Mobile-responsive — works on every device without extra configuration
Fully editable with drag-and-drop — change anything in seconds
Free to use on any plan, no credit card required
Use this template
Free to use. Open in the editor, customize, and publish in minutes.
English
Español
Português
Русский
العربية
