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How often do you do non-school related activities in a week?

____________ Approximately how much time do you spend on these activities? ___________ What do you often do during your free time? _ Mall _____ _ Drinking with friends _____ _ Shopping _____ _Hang out _____ _ Movie House _____ (watch movies) _ Chill in coffee shops _____ _Play video games _____ _ Outdoor activities (ziplining, wake boarding, hike, etc.) _____ _ Sports ____ (what sports?) _ Others (please specify) ______

Do you spend more time outside of school with your __ family or __ friends? ( please check one) if neither, please specify ______. Would you rather: __ spend time relaxing at home or __go out and do different activities?

At what time do you most often spend doing such activities? (please specify) : morning _____ am Afternoon _____ pm Evening _____pm Early hours in the morning (or dawn?) _______

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