Parasocial Relationship Survey - High School

I am completing a research project about the correlation among loneliness, stress levels, and parasocial relationships. If you decide that you would like to take part in this survey, you will answer basic questions found on this online survey. These questions deal with finding the presence of a parasocial relationship, determining the quantitative amount of loneliness you experience, and define your level of social maturity.
There are some important facts to consider about this survey. Do not feel obligated to complete this survey. There will be no loss of benefits if you decide not to participate or complete this survey. If you wish to stop taking this survey at any time, feel free to do so. If you do complete this survey, you may obtain some benefits. You may figure out a problem in your life or realize something about yourself through the answering of these questions.
Any information given on this survey will remain confidential. Your data will not be displayed individually, and all information presented will represent the mean data.
If you have any questions, feel free to contact the researcher, Emily Pace, at emilympace@gmail.com. You may also contact the project supervisor, Scott Bolen, at sbolen@rockdale.k12.ga.us, or call at 770-483-8738.


A red asterisk (*) indicates required questions.

  1. By selecting yes, I agree to all of the terms and risks involved in this experiment. I give my consent for the information given in this survey to be used in this study.*
    Yes
    No


  1. What is your gender?
    Male
    Female


  1. What is your age?
    13
    14
    15
    16
    17
    18
    19


  1. What is your grade level?
    10th Grade
    12th Grade


  1. What is your favorite book or movie?


  1. Which character is your favorite?


  1. Explain why you like this character.


  1. I feel a connection to/with this character.
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. I would like to meet the actor/actress that portrays this character.
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. I would like to meet the actor/actress that portrays this character even if they were not acting as this character.
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. If this character were to appear in another show/novel, I would read/watch this.
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. I see this character as a calm, collected person.
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. If I saw a news article about this character, I would read it.
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. I feel sorry for this character if they get hurt or make a mistake.
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. I feel happy when I am watching/reading about this character.
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. If I miss an opportunity to watch my favorite character or read about them in a story, I feel sad.
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. Reading about my favorite character or watching my favorite character is my favorite part of my day.
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. I would rather watch or read about my favorite character than watch or read anything else.
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. What I watch and read represents how life really works.
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. Problems presented to the character are simular to problems I face.
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. How often do you feel happy doing things alone? 


  1. How often do you feel like you have nobody to talk to? 


  1. How often do you feel that you can't stand being so alone? 


  1. How often do you feel that no one understands you? 


  1. How often do you wait for other people to call or talk to you? 


  1. How often do you feel completely alone? 


  1. How often do you feel like you cannot communicate with others? 


  1. How often do you feel starved for company? 


  1. How often do you feel like it is difficult to make friends? 


  1. How often do you feel shut out and excluded by others? 


  1. Please check all that applies to you or is occuring to you:
    Death of spouse
    Divorce
    Marital separation
    Detention in jail, other institution
    Death of a close family member
    Major personal injury/illness
    Marriage
    Fired from work
    Marital reconciliation
    Major change in the health or behavior of an family member
    Pregnancy
    Gaining a new family member
    Major business re-adjustment (e.g., merger, reorganization, bankruptcy)
    Major change in finantial status
    Death of a close friend
    Change to different line of work
    Major change in the number of arguments with spouse
    Taking out a mortgage or loan for a major purchase
    Forclosure on a mortgage or loan
    Major change in responsibilities at work
    Trouble with In-laws
    Outstanding personal achievement
    Spouse beginning or ceasing to work outside the home
    Beginning or ceasing formal schooling
    Major change in living conditions
    Revision of personal habits (dress, manners, associations, etc.)
    Trouble with boss
    Major change in working hours or conditions
    Change in residence
    Change to a new school
    Major change in usual type and/or amount of recreation
    Major change in church activities (a lot more or less than usual)
    Major change in social activities (clubs, dancing, movies, visiting)
    Taking out a mortgage or loan for a lesser purchase (e.g., for a car, TV, freezer, etc.)
    Major change in sleeping habits
    Major change in the number of family get-togethers
    Major change in eating habits
    Vacation
    Christmas season
    Minor violations of the law (e.g., traffic tickets, etc.)





Amanda Baskett
GA