Особенности межличностного общения у лиц с Интернет зависимостью

3. Образование:   среднее,   средне специальное,  неполное высшее,   высшее.

4. Работа:    есть,     нет.

5. Семейное положение:   в браке,   в браке не состою,  разведен(а).

6. Дети:  0,  1, 2, 3 и более.                                                                                                                                                                                                                                                                                                                                                                                                                                      7. Материальное положение:  ниже среднего, среднее, выше среднего.

8.  Жилищные  условия:

а) отдельная  квартира;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         б) совместное проживание с родителями

в) общежитие;

г)  снимаю квартиру.

9.  Зависимости  членов семьи:

а) алкоголь;                                                                                                                                                                                                                                                                                                                                                                                                                                                                          б) табакокурение

в) наркотики;                                                                                                                                                                                                                                                                                                                                                                                                                                             г) азартные игры

д) другое __________ 

10. В свободное  время вы играете в:

а) компьютерные игры;                                                                                                                                                                                                              б) игровые автоматы;                                                                                                                                                                                                                                                                в) посещаете Интернет

11.С какого  возраста играете, посещаете Интернет   (коми, игры, игровые автоматы, Интернет - нужное подчеркнуть) 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22_______

12. Сколько раз  вы играете, посещаете Интернет (компьютерные игры, игровые автоматы, Интернет - нужное подчеркнуть):

а) 1 раз в неделю;                                                                                                                                                                                                                                                                                                                                 б) 3-4 раза в неделю;                                                                                                                                                                                                                                                                                                                                                                                           в) каждый день;

г) один раз в  месяц;

д) другое__________                                                                                                                                                                                                                                                              

13.Сколько времени вы находитесь в компьютерной игре, Интернете, игровых автоматах (нужное подчеркнуть):

а) 1-2 часа;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        б) 3-4 часа;

в) 5-6 часов;

г) более 6 часов.                                                                                                                                                                                                                                                                                                                                                                                                

14. Какие ролевые компьютерные игры вы предпочитаете (обвести до 2 букв):                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             

а) игры с видом  «из глаз» «своего» героя;

б) игры с видом  извне на «своем» герое;

в) руководительские игры;

г) не играю в  ролевые компьютерные игры.

15. Какие не  ролевые компьютерные игры вы  предпочитаете (обвести до 2 букв):

а) аркады;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    б) головоломки;                                                                                                                                                                                                                                                                                                                                                         в) игры на быстроту реакции и сообразительность;

г) традиционные азартные игры (рулетка, казино и т.д.)

16. Возвращаетесь ли вы на другой день к игре, чтобы отыграться:

а) никогда;                                                                                                                                                                                                                                                                                                                                                                                                                                                 б) иногда;  

в) чаще всего;

г) почти всегда.                                                                                                                                                                                                                                                                                                        

17. Когда вы  находитесь в Интернете, то  предпочитаете (можно обвести  2 буквы):

а) виртуальную  реальность (ВР);

б) Е - MAIL;

в) ICQ (чаты общения);

г) USENET (конференция);

д) Internet Relay Chat сетевые игры (нужное подчеркнуть: бродилки, аркады, квесты, гонки, стрелялки, РПГ, симуляторы).

е) порносайты.

18. Когда вы  играете, находитесь в Интернет (компьютерные игры, игровые автоматы, Интернет - нужное подчеркнуть) то  испытываете:

а) эйфорию;                                                                                                                                                                                                                                                                                                                                                                                  б) радость;

в) облегчение;                                                                                                                                                                                                                                                                                       г) азарт;                                                                                                                                                                                                                                            

д) расслабление.

19. Как    часто вы замечаете, что находитесь  в игре или в Интернете больше запланированного времени:

а) иногда;                                                                                                                                                                                                                                                                                                                                                                                                                                     б) редко;

в) часто;                                                                                                                                                                                                                                                                                                                                                                                                                    г) очень часто;

д) всегда;

е) это ко мне  не относится.

20.Вы предпочитаете  играть:                                                                                                                                                                                                            а) один; б) с друзьями.

21. Вы находитесь  в Интернете, игровом зале, в  компьютерном  клубе, Интернет-кафе  для того, чтобы:

а)  пообщаться;                                                                                                                                                                                                                                                                                                                                  б) поиграть;

в) самоутвердиться;                                                                                                                                                                                                                                                                                                                                                                                                                        г) найти нужную информацию;