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Appendix - Client Reproducible Worksheets

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Web Quiz
Replay track 1 for more information on this technique.
Client answers following questions in order to assess if he or she has an addiction to the internet.

1. Do you feel preoccupied with the internet?
2. Do you feel the need to use the internet with increasing amounts of time in order to achieve satisfaction?
3. Have you repeatedly made unsuccessful efforts to control, cut back, or stop internet use?
4. Do you feel restless, moody, depressed, or irritable when attempting to cut down or stop internet use?
5. Do you stay online longer than originally intended?
6. Have you jeopardized or risked the loss of a significant relationship, job, educational, or career opportunity because of the internet?
7. Have you lied to family members, a therapist, or others to conceal the extent of your involvement with the internet?
8. Do you use the internet as a way of escaping from problems or of relieving a distressed mood?

 Assessing the Damage:  Part Two
Replay track 1 for more information on this technique.
Client answers with "not at all," "rarely," "occasionally," "often," or "always" to the following questions to assess his or her involvement in the internet.

1. How often do you find that you stay online longer than you intended?
2. How often do you neglect household chores to spend more time online?
3. How often do you prefer the excitement of the internet to intimacy with your partner?
4. How often do you form new relationships with fellow online users?
5. How often do others in your life complain to you about the amount of time you spend online?
6. How often do your grades or school work suffer because of the amount of time you spend online?
7. How often do you check your email before something else that you need to do?
8. How often does your job performance or productivity suffer because of the internet?
9. How often do you become defensive or secretive when anyone asks you what you do online?
10. How often do you block out disturbing thoughts about your life with soothing thoughts of the internet?
11. How often do you find yourself anticipating when you will go online again?
12. How often do you fear that life without the internet would be boring, empty, and joyless?
13. How often do you snap, yell, or act annoyed if someone bothers you while you are online?
14. How often do you lose sleep due to late night logins?
15. How often do you feel preoccupied with the internet when offline or fantasize about being online?
16. How often do you find yourself saying "just a few more minutes" when online?
17. How often do you try to cut down the amount of time you spend online and fail?
18. How often do you try to hide how long you’ve been online?
19. How often do you choose to spend more time online over going out with others?
20. How often do you feel depressed, moody, or nervous when you are offline, which goes away once you are back online?

Tracking Your Time
Replay track 3 for more information on this technique.
Client answers following questions regarding his or her time usage on the internet.

1. Chat rooms.  How many hours spent per week?  List all the different chat rooms you visit.
2. Interactive games.  How many hours?  Name the different games you play.
3. E-mail. How many hours?  Track how many email messages you send and receive each day.
4. Newsgroups.  How many hours?  List the different groups you participate in.
5. World Wide Web.  How many hours?  Identify your favorite web site subjects.
6. Other internet usage.  Are there additional applications you’re discovered on the internet?  Name them and similarly total your hours spend per week on each one.

Parent Confrontation Tips
Replay track 5 for more information on this technique.
Client reviews following tips to ensure an effective confrontation with their child who is addicted to the internet.

1. Present a united front.  Both parents should agree on one punishment and mode of confrontation.
2. Show your caring.  It will help to begin your discussion by reminding your child that you love him or her and that you care about his or her happiness and well-being.
3. Assign an internet time log.  Tell your child that you’d like to see an accounting of just how much time he or she spends online each day and which internet activities he or she engages in.
4. Set reasonable rules.  Removing the computer completely will make you an enemy in your child’s eye and he or she may exhibit symptoms of withdrawal.
5. Make the computer visible.
6. Encourage other activities.
7. Support, don’t enable.  Try not to make excuses for the child’s behavior.  Acknowledge their feelings, but don’t give in when they throw a tantrum.
8. Use outside resources when needed.

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