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.

* Indicates required field

How did you hear about this site? *

Internet Search Advertisement Friend Other

If other please specify: *

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? *

Submit