Digital Habits & Well-being Questionnaire

Basic Details

Your Name

Your Phone

Your Email

Part 1: Current Digital Footprint

1. On average, how many hours per day do you spend on your smartphone?
Less than 2 hours2–4 hours4–6 hoursMore than 6 hours

Do you feel this time is mostly:
ProductivePassiveBoth

2. Is checking your phone the first thing you do after waking up and the last thing before sleep?
YesNoSometimes

3. Do you feel an urge to check your phone immediately when a notification arrives?
Yes, frequentlyOccasionallyRarelyNever

4. What do they think Life Beyond Screens(LBS) must do to help students?

5. Mentorship Opportunity: If Mr. Srihari Prahalad were to offer a structured mentorship program focusing on digital habits, peak performance, and professional resilience, would you like to participate?
Yes, I would like to participateMaybe, I need more detailsNo, not at this time

Part 2: Digital Wellness & Health

4. Have you experienced physical symptoms due to prolonged screen use?
Eye strainNeck pain (Text neck)Sleep disruptionHeadachesNone

5. How often is your concentration interrupted by digital distractions while studying?
Very oftenOftenSometimesRarelyNever

6. Before this talk, were you aware of the potential health impacts of non-ionizing radiation (EMR)?
YesNoSomewhat

Part 3: Culture & Social Well-being

7. Does social media ever lead to feelings of inadequacy or FOMO?
Yes, oftenSometimesRarelyNever

8. Do digital devices act as a barrier to face-to-face conversations?
YesSometimesNo

9. How is constant connectivity changing expectations of availability in your profession?

Part 4: Post-Talk Reflection

10. What was the most surprising fact or perspective you gained from the talk?

11. One specific habit you intend to implement this week:

12. How will mastering digital wellness make you a better professional?