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Insomnia

Dear Sir or Madam, please take a few minutes of your time to complete the following questionnaire.

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Spring Survey 2025
1

What is your gender?

Select one or more answers
2

What is your age?

Select one or more answers
3

How bad does being sleep deprived affect you?

10. I cannot function at all 1. I can go on throughout my day
4

Do you tend to pull all nighters often?

10. I pull a lot of all nighters 5. Every once in a while 1. Not at all
5

Please provide any feedback you would like to provide for this survey.