Hilliard Law

Gaming Addiction Survey

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Case ID

First Name

Last Name

Have you played Roblox?

When did you start playing Roblox?

Month

Year

Do you still play Roblox?

When Did you stop playing Roblox?

Month

Year

Please comma separate all Roblox gamertag(s) and their platforms (Platforms: Xbox, Playstation, Personal Computer, Phone, Tablet or Other)

Have you played Fortnite?

When did you start playing Fortnite?

Month

Year

Do you still play Fortnite?

When Did you stop playing Fortnite?

Month

Year

Please comma separate all Fortnite gamertag(s) and their platforms (Platforms: Xbox, Playstation, Personal Computer, Phone, Tablet or Other)

Have you played Minecraft?

When did you start playing Minecraft?

Month

Year

Do you still play Minecraft?

When Did you stop playing Minecraft?

Month

Year

Please comma separate all Minecraft gamertag(s) and their platforms (Platforms: Xbox, Playstation, Personal Computer, Phone, Tablet or Other)

719 S Shoreline Blvd
Corpus Christi, TX 78401
Mo-Fr: 8AM - 5PM

Phone: (361) 882-1612
Toll Free: 1 (800) 334-3298
Fax: (361) 882-3015
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