This free survey is powered by
0%
Questions marked with an * are required Exit Survey
 
 
* I am
 
Male
 
Female
 
 
 
* How old are you?
 
Under 10
 
10 - 12
 
13 - 15
 
16 - 18
 
19 - 21
 
22 - 24
 
Over 24
 
 
 
How many hours do you sleep in the week/night?
 
Under 4 hours
 
5 - 6 hours
 
7 - 8 hours
 
9 - 10 hours
 
Over 11 hours
 
 
 
How many hours do you sleep in the weekend/night?
 
Under 4 hours
 
5 - 6 hours
 
7 - 8 hours
 
9 - 10 hours
 
11 - 12 hours
 
Over 13 hours
 
 
 
How many hours would you like to sleep?
 
Under 4 hours
 
5 - 6 hours
 
7 - 8 hours
 
9 - 10 hours
 
Over 11 hours
 
 
 
What time do you go to sleep in the week?
 
20:00 or earlier
 
21:00
 
22:00
 
23:00
 
00:00
 
01:00
 
02:00 or later
 
 
 
Do you think that you sleep enough?
 
Yes
 
No
 
 
 
Rate your quality of sleep
Very Unsatisfied
Unsatisfied
Neutral
Satisfied
Very Satisfied
 
 
 
How often do you see nightmares?
 
Never
 
Rarely
 
Sometimes
 
Often
 
 
 
How many times do you wake up at night?
 
0
 
1
 
2
 
3
 
Over 4
 
Share This Survey:          Survey Software Powered by QuestionPro Survey Software