This free survey is powered by
 
 
This section assesses INTERPERSONAL issues and has a total of 5 questions.

Please choose the response that BEST fits your child's situation.

Please start with the survey now by clicking on the Continue button below.
 
 
 
Does your child maintain good interpersonal skills during conversations (e.g., good eye contact, appropriate nonverbal skills, speaks clearly or with enough volume, etc.)?
 
Yes
 
No
 
Sometimes
 
 
 
Does your child prefer to watch or play video games with friends over playing any other activity with friends?
 
Yes
 
No
 
Sometimes
 
 
 
Does your child have difficulty making friends?
 
Yes
 
No
 
Sometimes
 
 
 
Is your child able to resolve conflict and accept conflict resolution appropriately?
 
Yes
 
No
 
Sometimes
 
 
 
Does your child use an appropriate amount of assertiveness to communicate needs, desires, beliefs and ideas with others?
 
Yes
 
No
 
Sometimes
 
 
 
Please click on continue to view the results.
 
 
 
Your responses indicate your child as NO risk of interpersonal issues related to technology use. Congratulations your family appears to have a good balance between technology use and interpersonal factors.
 
 
 
Your responses indicate your child has a SLIGHT risk of interpersonal issues related to technology use. There may be one or two changes you could make to further decrease your child's risk in this area.
 
 
 
Your responses indicate your child has a MODERATE risk of interpersonal issues related to technology. However, the decisions you make today can help your child lower their risk in this area.
 
 
 
Your responses indicate your child has a SEVERE risk of interpersonal issues related to technology use. However, the decisions you make today can help your child lower their risk in this area.
 
© Technology Wellness Center. This questionnaire is protected by copyright laws. You are expressly prohibited from copying or using this questionnaire without the express approval from the Technology Wellness Center.