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IMPACT 1.0

Intentional Media use & Personal Awareness of Control using Technology

About the IMPACT Assessment (Version 1.0)

The IMPACT Assessment (Intentional Media use & Personal Awareness of Control using Technology) is a reflective tool developed from a functional contextual and Acceptance and Commitment Therapy (ACT) perspective. It aims to explore how individuals engage with technology, digital devices, and media in their daily lives. This includes evaluating levels of awareness, intention, psychological flexibility, and behavioral patterns related to technology use. The goal is to provide insight into how digital habits may influence wellbeing, focus, emotional regulation, and overall psychological functioning.

This assessment is entirely voluntary. By choosing to complete it, you acknowledge and accept the purpose of this questionnaire as being part of a developmental process designed to improve the lives of individuals in a digitally connected world. Your responses may also contribute to the development of academic and clinical understanding regarding technology use and mental health.

All information submitted is strictly confidential and will be securely stored by Dr David Rosenstein and Cape Behaviour Therapists. Identifiable information is anonymised, and no data will be shared with third parties. This questionnaire is developed as intellectual property belonging to Dr David Rosenstein and Cape Behaviour Therapists and is currently offered free of charge. Participants may request feedback on their responses if desired. Information provided may be used for research, clinical development, and the future norming and scientific validation of the tool, in accordance with the Protection of Personal Information Act (POPIA).

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