Are you male or female?

Male

Female

What is your age?

years old

Do you have a personal computer at your house?

Yes

No

If you answered yes to the following question, do you have an internet connection?

Yes

No

If so, how many hours per week do you spend on the computer? (Note: This includes any use of the computer, not only the internet)

hours

On a scale from 1 to 10, how dependant do you think society is on technology?

1 (least dependant) 2 3 4 5 (somewhat dependant) 6 7 8 9 10 (extremely dependant)

Do you think society could survive if all technology was to fail?

Yes

No

Explain:

Other than those mentioned in this page, what are some examples of laziness caused by technology?

1.

2.

3.

What are the three most important technologies you use daily?

1.

2.

3.

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