.

A survey on sleep and gaming habits

This questionnaire consists of questions concerning your sleeping pattern, your gaming behavior and the type of game you play, followed by a short cognitive abilities test. Thank you for participating and contributing to our research.

Disclaimer:

This questionnaire is fully anonymous. Solely our research group and supervisor are able to see the answers. Your participation in this test is completely voluntary, you are free to skip any question for any reason. By participating, you agree that this data can be used for (confidential) research purposes.

© Bingegamers group, Sarah Carter M. Sc, University College Roosevelt, Fall 2015

Secured

Where are you from?

Please specify your gender

How old are you?

What is your current level of education?

During the past month, at what time have you usually gone to bed?

During the past month, how long (e.g. 0-15 minutes/15-30 minutes) has it taken you to fall asleep each night?

During the past month, at what time have you usually gotten up in the morning?

During the past month, how many hours of actual sleep do you get at night? (this may be different from the number of hours you spend in bed)

During the past month, how often have you had trouble sleeping because you...

If you have other reason(s) please describe, including how often you have had trouble sleeping during the past month because of this reason(s)

During the past month...

During the past month, how would you rate your sleep quality overall?

What type of video games do you play? Please choose the type(s) of game(s) you played at least once during the past month. Please keep in mind that apps on your phone, such as Angry Birds, are games as well.

If you are unsure if something you play counts as a game or in which category it belongs, you can describe it below

How often during the last six months…

Thank you for filling in this part of our survey. Following this part is a digital cognitive abilities test, which will take five to ten minutes. Please visit the following website: Human Benchmark (opens in a new window)

Complete all four tests once. Do not repeat a test. Please write down the scores (Number Memory, Reaction Time, Verbal Memory, Visual Memory) you have below. Please state both the percentages and the scores, this is very important!

The survey is completed. Thank you for participating!

It is easy to create a survey free ✓ Powered by Survio