Appendix
 
 

Appendix A: Instant Messenger Use Inventory, Appendix B: Consent Form, Appendix C: Debriefing Sheet
 
 

Appendix A

Code#: ____________                                                                                                             Date: ____________

Instant Messenger Use Inventory

Directions: Please provide honest answers to each question. Fill in all blanks. Circle answers.
 

   1.Age: ______ 

   2.Gender: 

        a.Male 
        b.Female 

   3.Do you use Instant Messenger? 

        a.Yes 
        b.No 

      If you answered no, do not continue with this inventory.

   4.How many days of the week (Monday through 6 pm Friday) do you use
     Instant Messenger? 
        a.1 
        b.2 
        c.3 
        d.4 
        e.5 

   5.How many days of the weekend (6 pm Friday through Sunday) do you use
     Instant Messenger? 

        a.1 
        b.2 

   6.What percentage of time do you use Instant Messenger on weekdays?
     (Percentages should add up to 100) 

        a.Morning (awake till noon): ______ 
        b.Afternoon (past noon till 6 pm): ______ 
        c.Evening (after 6 pm till 11 pm): ______ 
        d.Night (after 11 pm): ______ 

   7.What percentage of time do you use Instant Messenger on weekends? 

        a.Morning (awake till noon): ______ 
        b.Afternoon (past noon till 6 pm): ______ 
        c.Evening (after 6 pm till 11 pm): ______ 
        d.Night (after 11 pm): ______ 

   8.Approximately how many hours a day do you use Instant Messenger?  _____Hours 

   9.Approximately how many names do you have on your Buddy List? _______ 

  10.When doing schoolwork on the computer, do you have Instant Messenger on
     or shut off? 

        a.On 
        b.Off 

      If you leave it on while doing work on the computer, what percent of
      the time is it on? ______

  11.Who do you chat with while using Instant Messenger? (Circle all that apply) 

        a.Friends from home 
        b.Family 
        c.Friends from Saint Anselm College 
        d.Other: _______________________ 

  12.Who do you chat with most? 

        a.Friends from home 
        b.Family 
        c.Friends from Saint Anselm College 
        d.Other: _______________________ 

  13.In the month of September, what was the longest period of time that you went without using Instant 
       Messenger? ______ 

  14.What do you use more?

        a.Instant Messenger 
        b.Telephone 
        c.E-mail 
        d.Letters 

  15.Do you have a pager? 

        a.Yes 
        b.No 

      If yes, does it display messages? ______

  16.Do you have a cell phone? 

        a.Yes 
        b.No 

      If yes, does it have Instant Messenger on it? ______

            Does it have other types of Web capabilities (such as email and
            text messaging)? ______
 

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Appendix B

Consent Form

I, __________________________________, am being asked to participate in a study investigating computer use and relationships. This project is being conducted under the supervision of Lauren Stagg of Saint Anselm College. The project was approved by Saint Anselm College’s Prof. Finn.

From this project, we hope to learn the relationship between Instant Messenger and loneliness in our target population.

As a participant in this research, I will be asked to honestly answer questions presented to me during the 45min duration of this project.

I understand that the investigation will take every precaution to safeguard the confidentiality of the information I share with them. I know that my responses will be reported in summary form, that my identity will be concealed, and that my name will never be used. I understand that my individual results will not be given to me.

If at any time I want more information about this project, I can contact Lauren Stagg at extension 6224 or lstagg@anselm.edu. I understand that if I encounter any problems in participation in this research, I should notify Lauren Stagg and Prof. Finn.

I understand that I have the right to refuse to participate in this study. I also understand that if I do agree to participate, I still have the right to change my mind at any time and that I may quit whenever I wish. I understand that my refusal to participate will not negatively affect me in any way.

My signature below indicates that I have given my informed consent to participate in the above-described project. My signature also indicates that:

     ·I have been given the opportunity to ask any and all questions about the project and my participation in
      it, and that all of my questions have been answered to my satisfaction.

     ·I have read this consent form and been given a signed copy of it.

     ·I am at least 18 years old.

     ·I am legally able to provide consent.

     ·To the best of my knowledge and belief, I have no physical or mental illness or weakness that would be 
      adversely affected by my participation in the described project.
 

_________________________             __________
Signature of Participant                   Date
 

_________________________             __________
Signature of Witness                       Date
 
 

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Appendix C

Debriefing sheet

Instant Messenger Use and Loneliness Among College Freshmen

The purpose of this study is to investigate the relationship between Instant Messenger Use and loneliness among college freshmen. I want to remind youthat your information will be confidential and your names will not be used. I ask you please not to discuss this study with your peers or other potential participants because the data may become biased. I thank you for your participation and if you have any questions feel free to ask them at this time. If you have any questions in the future, you may email me at lstagg@anselm.edu or call me at ext. 6224.

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