The sleep survey template consists of various survey questions that collects data from a respondent about sleeping habits and causes and reasons of poor sleep in general. This survey consists of various survey questions aiming to understand the frequency of poor sleep and all the factors that cause it. It also collects feedback about the frequency of bad sleep and a respondent’s perceived reasons of sleeplessness. This questionnaire was also created by experts to understand from a respondent, the situations in which they would fall asleep rather than just feel tired or fatigued.
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To what extent has poor sleep troubled you in general? Which of these problems have you had with your sleep? Select all that apply How many nights in a week do you have trouble with your sleep? In the past 7 days, how many times have you slept for in-between 7-9 hours? On an average, how many nights of sleep did you get per night? How long have you had a problem with your sleep? Did you sleep well as a child? Please state your agreement with the following statements that are causing you to sleep less: How likely are you to fall asleep in the day without ending to sleep? Or how likely are you to struggle to stay awake during the day? How likely are you to fall asleep in the following situations rather than just feel tired or fatigued: Is there any other feedback you would like to provide? |