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Psych Survey

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

Secured
Insomnia
1

What is your gender?

Select one or more answers
2

What is your age?

Select one or more answers
3

Do you struggle to sleep?

10- Every time 5- Once a month 1- Never
4

Do you tend to have all nighters on a regular basis?

10- Very often 5- At times 1- Nearly never
5

How badly does sleep deprivation effect your body?

10- Bad that I cannot function throughout the day 5- I'll be awake IF I drink an energy drink 1- I'll be fine
6

Please provide any feedback you would like to provide for this survey :)