Sleep+Awake Survey

When do you get to sleep during the week night?

• 8 PM
• 9 or 10 PM
• 11 or 12
• 12:30 or later
• I stay up all night!

When do you get to sleep on the weekend?

• 10 PM
• 11 PM
• 12 AM
• 1-4 AM
• I stay up all night!

If you stay up late, what are you usually doing?

• I'm on the internet
• Talking to a friend/boy/girlfriend on the phone
• I'm usually doing homework
• All of these/some of these
• Watching TV or reading

Do you like sleeping?

• Yeah I love it!
• No I hate sleeping
• I love it but I hate it at the same time
• Idk it's alright

If you can't sleep, what do you do?

Please select all that apply.

• Call or text someone
• Watch TV
• Lay there and try to sleep
• Read
• Go online
• Go eat food
• Take sleeping pills
• Other

What helps you fall asleep?

Please select all that apply.

• Reading
• Watching TV in the dark
• Being on the internet
• Sleeping Pills
• Tea or Milk
• Talking to someone
• Food
• Counting Sheep
• OTher
• Music

Do you have insomnia?

Please select all that apply.

• Yes, severely
• Nope
• I think I do
• Sometimes I have it

What time do you get up during the week?

Please select all that apply.

• 5 AM or earlier
• 5:30-6 AM
• 6:30-7 AM
• 7:30-8 AM
• 8:30-9 AM or later

What time do you get up on the weekend?

Please select all that apply.

• 7 AM
• 8 AM
• 9 or 10 AM
• 11 or 12
• Later than noon

Do you need coffee or caffinated drinks in the morning?

Please select all that apply.

• Yeah i can't survive without it!
• I don't need it, but it really helps
• Ew I hate that stuff
• No I don't need it

If so, what do you drink?

Please select all that apply.

• Regular Black Coffee
• Iced Coffee Drink
• Fancy other coffee drink
• Soda
• Energy Drinks
• Tea
• Other
• I don't drink any of that

Do you fall asleep during school?

Please select all that apply.

• All the time!
• Sometimes
• I have before
• Nope never

Do you nap?

Please select all that apply.

• Sometimes, if I'm extremely tired
• Never
• Everyday
• I have before

How long do you sleep?

Please select all that apply.

• 10 minutes or less
• 20 or 30 minutes
• 45 minutes or an hour
• More than an hour
• I don't nap

Do you immediately wake up in the morning?

Please select all that apply.

• No I usually lie in bed for awhile, then get up and hurry to get ready
• Yeah, most of the time
• No I fall back asleep usually
• Sometimes I do, sometimes I fall right back asleep
• Always