Sleep Study Survey

Answer all questions to the best of your abilities:

This questionnaire was designed to provide information on the patterns of sleep habits in order to examine the effects of sleep deprivation in students and their ability to retain information.

Study Purpose
The purpose of this study is to provide students with a survey to assess their current sleeping habits. Surveys: All subjects in this study will consist of individuals who are currently enrolled in school, during a week before an exam. After this assessment, follow up with another survey the next week discussing the difficulty level of memorizing and remembering the information studied, along with their final grade. The principal investigator Dr. Hammer will be the only person with access to this data.

Sleep Study: This study will provide students with a way to assess their current sleeping habits before and after an exam.

Study Procedures

If you agree to participate in this study, we would ask you to do the following: to complete the questionnaire one week prior to an exam. Research will be conducted through a link offered to individuals. After this assessment, a follow up with another survey the next week discussing the difficulty level of memorizing and remembering information studied, as well as the final grade.

* Indicates required field

What is your age? *

What is your major? *

What year of college are you currently in? *

What are your college goals? *

What time do you usually go to bed on a school night? *

What is the reason you go to bed at this time on a school night? *

How often do you stay awake all night? *

Do you often stay awake for long periods of time doing homework or studying? *

Do you feel stressed or anxious if your work is not completed before sleeping? *

How many times in a week do you stay awake past your bedtime on a school night *

How long does it take you to fall asleep on a school night? *

Which of these problems have you had with your sleep? *

What usually wakes you in the morning? *

Do you have any chronic illness or other health problems? *

In the past few weeks, have you missed school on any day due to feeling sleepy or not waking up? *

Your grades in school are mostly: *

Do you find yourself sleeping less when preparing for an exam? *

What are the numbers of hours per week you spend studying, at lectures/meetings, etc? *

How many hours of sleep per night do you average? *

How many days of the year are you not in school? *

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