Teen Social Media Usage and Mental Health Survey

Teen Social Media Usage and Mental Health Survey — Form Fields

This surveys template includes 7 fields. Survey teenagers on daily social media habits and perceived impact on mental wellbeing. Free to customize and use on ZenBuild.

• Age (dropdown selection, required) — options: 13, 14, 15, 16, 17, 18
• Daily Social Media Hours (number, required)
• Platforms Used (checkboxes, required) — options: Instagram, TikTok, Snapchat, YouTube, Twitter/X, BeReal, Discord
• Does Social Media Make You Feel Worse About Yourself? (multiple choice, required) — options: Yes Often, Sometimes, Rarely, Never
• Have You Ever Taken a Social Media Break? (multiple choice, required) — options: Yes and It Helped, Yes - No Difference, No
• Negative Experiences Online (checkboxes, optional) — options: Cyberbullying, FOMO, Body Image Issues, Comparison, Anxiety, None
• What Do You Wish Adults Understood About Your Social Media Use? (long text, optional)