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What is your gender?
 
Male
 
Female
 
 
 
What is your grade?
 
7
 
8
 
9
 
10
 
11
 
12
 
College
 
 
 
How do you primarily communicate with the opposite gender?
 
Face-to-face conversation
 
Through text messaging
 
Through direct messaging on a social media site
 
Webcam
 
Telephone calls
 
 
 
Have you ever dated someone you met on a social media site/online?
 
Yes
 
No
 
 
 
Have you ever been in a relationship with someone, and your primary form of communication was through technology (e.g. texting, Facebook messaging, Skyping)
 
Yes
 
No
 
 
 
Have you ever dated someone you never met in person?
 
Yes
 
No
 
 
 
Has social media ever had a negative effect on your dating relationship?
 
Yes
 
No
 
Does not apply
 
 
 
Explain:
   
 
 
 
Has social media ever had a positive effect on your dating relationship?
 
Yes
 
No
 
Does not apply
 
 
 
Explain: