Are you sleep deprived?

How old are you?

What is your normal bedtime?

How many hours of sleep do you get every night?

Do you have trouble falling asleep when you first get into bed?

Yes

Sometimes

No

Do you wake up feeling tired?

Yes

Sometimes

No

Do you ever not hear your alarm clock?

Yes

Sometimes

No

Do you ever fall asleep in class or at work?

Yes

Sometimes

No

Do you ever feel like you need to take naps?

Yes

Sometimes

No

Do you often yawn during the day?

Yes

Sometimes

No

Is it hard for you to pay attention during class?

Yes

Sometimes

No