Souly
Rock n' Roll Doggie Band-aid
I'm doing a survey for class on student's sleep patterns and I'd appreciate if you took the time to fill this out for me! Thank you!
If you don't feel comfortable posting your replies, please email me at cat2150@livejournal.com
Please select only one answer:
1. What is your gender?
Male
Female
2. How old are you?
16-19 years old
19-22 years old
22-25 years old
25 years or older
3. On average, how many hours of sleep do you get per night?
1-3 hours of sleep
3-5 hours of sleep
5-7 hours of sleep
7-9 hours of sleep
More than 10 hours of sleep
4. Do the number of hours you sleep affect your performance the next day?
Yes
No
5. How alert are you during the day?
Not Alert
Somewhat Alert
Very Alert
6. Do you ever feel you need to take a nap during the day?
Yes
No
7. If yes, when? (please specify what time) ___________
8. When do you usually go to bed during the week?
8 o’clock – 9 o’clock
9 o’clock – 10 o’clock
10 o’clock – 11 o’clock
11 o’clock – 12o’clock
12 o’clock – 1 o’clock
1 o’clock – 2’oclock
Later than 2 o’clock
9. When do you usually go to bed during the weekend?
8 o’clock – 9 o’clock
9 o’clock – 10 o’clock
10 o’clock – 11 o’clock
11 o’clock – 12o’clock
12 o’clock – 1 o’clock
1 o’clock – 2’oclock
Later than 2 o’clock
10. What time do you get up in the morning during the week?
5 o’clock – 6o’clock
6 o’clock – 7 o’clock
7 o’clock – 8 o’clock
8 o’clock – 9 o’clock
9 o’clock - 10 o’clock
Later than 10 o’clock
11. What time do you get up in the morning during the weekend?
5 o’clock – 6o’clock
6 o’clock – 7 o’clock
7 o’clock – 8 o’clock
8 o’clock – 9 o’clock
9 o’clock - 10 o’clock
Later than 10 o’clock
12. Do you eat breakfast daily?
Yes
No
13. Do you consume a food or beverage to keep you awake?
Yes
No
14. Are you a student?
Yes
No
15. What type of student are you?
Satisfactory
Good
Very good
Excellent
16. Are you mentally or physically drained during the day?
Yes
No
17. Are you employed?
Yes
No
18. If so, how many hours do you work every week?
1-5 hours
5-10 hours
10-20 hours
More than 20 hours
19. Do you snack between classes?
Yes
No
20. Are marks affected by sleep patterns?
Yes
No
21. Are marks affected by eating habits?
Yes
No
22. Do you study alone or with friends?
Alone
With friends
23. Do you talk to people when you study?
Yes
No
24. Do you talk to people online when you study?
Yes
No
25. If you have a test, are you most likely to study before hand, or pull an all nighter?
Study before hand
Pull all nighter
26. What do you do before you go to bed?
Play video games
Watch TV
Read a book
Talk on the phone
Chat on the Internet
Snack
Other ______
If you don't feel comfortable posting your replies, please email me at cat2150@livejournal.com
Please select only one answer:
1. What is your gender?
Male
Female
2. How old are you?
16-19 years old
19-22 years old
22-25 years old
25 years or older
3. On average, how many hours of sleep do you get per night?
1-3 hours of sleep
3-5 hours of sleep
5-7 hours of sleep
7-9 hours of sleep
More than 10 hours of sleep
4. Do the number of hours you sleep affect your performance the next day?
Yes
No
5. How alert are you during the day?
Not Alert
Somewhat Alert
Very Alert
6. Do you ever feel you need to take a nap during the day?
Yes
No
7. If yes, when? (please specify what time) ___________
8. When do you usually go to bed during the week?
8 o’clock – 9 o’clock
9 o’clock – 10 o’clock
10 o’clock – 11 o’clock
11 o’clock – 12o’clock
12 o’clock – 1 o’clock
1 o’clock – 2’oclock
Later than 2 o’clock
9. When do you usually go to bed during the weekend?
8 o’clock – 9 o’clock
9 o’clock – 10 o’clock
10 o’clock – 11 o’clock
11 o’clock – 12o’clock
12 o’clock – 1 o’clock
1 o’clock – 2’oclock
Later than 2 o’clock
10. What time do you get up in the morning during the week?
5 o’clock – 6o’clock
6 o’clock – 7 o’clock
7 o’clock – 8 o’clock
8 o’clock – 9 o’clock
9 o’clock - 10 o’clock
Later than 10 o’clock
11. What time do you get up in the morning during the weekend?
5 o’clock – 6o’clock
6 o’clock – 7 o’clock
7 o’clock – 8 o’clock
8 o’clock – 9 o’clock
9 o’clock - 10 o’clock
Later than 10 o’clock
12. Do you eat breakfast daily?
Yes
No
13. Do you consume a food or beverage to keep you awake?
Yes
No
14. Are you a student?
Yes
No
15. What type of student are you?
Satisfactory
Good
Very good
Excellent
16. Are you mentally or physically drained during the day?
Yes
No
17. Are you employed?
Yes
No
18. If so, how many hours do you work every week?
1-5 hours
5-10 hours
10-20 hours
More than 20 hours
19. Do you snack between classes?
Yes
No
20. Are marks affected by sleep patterns?
Yes
No
21. Are marks affected by eating habits?
Yes
No
22. Do you study alone or with friends?
Alone
With friends
23. Do you talk to people when you study?
Yes
No
24. Do you talk to people online when you study?
Yes
No
25. If you have a test, are you most likely to study before hand, or pull an all nighter?
Study before hand
Pull all nighter
26. What do you do before you go to bed?
Play video games
Watch TV
Read a book
Talk on the phone
Chat on the Internet
Snack
Other ______