Name
Age:
18-24
25-36
37-44
45-52
53+
How much time per day do you spend on a phone or computer?
H/D
1-2/h
3-4/h
5-6/h
What Device do you spend the most time on?
Phone
Computer
Gaming Console
Other
Favorite meat
Ham
Chicken
Steak
Sea Food
N/A