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CRN: 21702

1. What age group do you fit in?

2. Please indicate your current education level

3. Please indicate how many hours a week you play video games.

4. Please indicate what ESRB ratings the games you play received? {Check all that apply}

5. Where do you spend most of your time playing games?

6. Please indicate which type of games you play most.

7. How often do you get aggitated while playing video games?

8. How often do you have issues among your personal relationships?

9. When you play video games, do you sometimes find yourself wishing to or enacting something involved with the games you play?

10. Do you find yourself becoming angry/agitated for no apparent reason after playing a game whether online or not, and do you apply this anger towards those around you?