Welcome to the Phone Breakup Challenge, brought to you by Screen/Life Balance and How to Break Up With Your Phone. The goal? To take the first steps toward a healthier relationship with your phone.

Please complete this intake questionnaire. This will give you a record of your own baseline habits—and help you to set your intentions/goals for the days ahead. Your responses will be automatically emailed to you when you complete the survey. (I will not share or sell your email address.)

The survey is primarily multiple choice, and should take no more than 5–10 minutes to complete.
 Please use the same email address that you used to sign up for the challenge.

NOTE: By filling out this survey, you are giving me permission to quote from your responses in future newsletters, books, and other materials. I will only use your first name.

Now let's get started!

-Catherine Price, author of How to Break Up With Your Phone & founder of Screen/Life Balance