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  1. Surveys
  2. 2016
  3. March
  4. S
  5. Sleep Deprivation
0%
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Hello:
You are invited to participate in my survey. In this survey, approximately 30 people will be asked to complete a survey that asks questions about sleep deprivation and the effects it has on our bodies. It will take approximately 5 minutes to complete the questionnaire.

Your participation in this study is completely voluntary. There are no foreseeable risks associated with this project. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point. It is very important for us to learn your opinions.

Your survey responses will be strictly confidential and data from this research will be reported only in the aggregate. You information will remain confidential.

Please answer truthfully and accurately.

Thank you very much for your time and support.

 
 
 
What is your gender?
 
Male
 
Female
 
 
 
What is your age?
 
5-10
 
11-15
 
16-20
 
21-25
 
26-30
 
31-35
 
36-40
 
41 or older
 
 
 
What program are/were you in?
   
 
 
 
Do you feel like you receive an adequate amount of sleep?
 
Yes
 
No
 
 
 
How many hours of sleep do you get on an average night?
 
1-2
 
3-4
 
5-6
 
7-8
 
9-10
 
11 or more
 
 
 
Do you feel fatigued throughout the day?
 
Yes
 
No
 
 
 
If yes, how fatigued are you on a scale of 1 (barely fatigued) to 10 (extremely fatigued)?
 
1
 
2
 
3
 
4
 
5
 
6
 
7
 
8
 
9
 
10
 
 
 
Are you forgetful throughout the day?
 
Yes
 
No
 
 
 
If yes, how forgetful are you on a scale of 1 (barely forgetful) to 10 (extremely forgetful)?
 
1
 
2
 
3
 
4
 
5
 
6
 
7
 
8
 
9
 
10