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Questions marked with a * are required Exit Survey
 
 
* What year are you in?
 
1st Year
 
2nd Year
 
3rd Year
 
4th Year
 
5th Year
 
6th Year

 
 
 
* What is your gender? 
 
Male
 
Female
 
Other
 
 
 
* How much sleep do you get in an average night 
 
>2
 
2-4
 
4-6
 
6-8
 
8-10
 
10+
 
 
 
* Do you exercise regularly? 
 
Yes
 
No
 
 
 
* Do you drink caffeine regularly i.e Tea, coffee, Red Bull 
 
Yes
 
No

 
 
 
* Do you look at a screen within an hour of going to bed?
 
Yes
 
No

 
 
 
* Do you go to sleep and wake up at the same time every day/night ?
 
Yes
 
No
 
 
 
* Do you have broken sleep? i.e waking up in the middle of the night 
 
Yes
 
No
 
 
 
* Do you eat within an hour of sleeping?
 
Yes
 
No
 
 
 
* Are you tired right now ? 
 
Yes
 
No