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Student Weekly Routine Survey

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

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1

Morning time I woke up

Select the closest time to when you typically wake up in the morning.
2

Morning time I got out of bed

Select the closest time to when you typically get out of bed in the morning.
3

Evening time I went to bed

Select the closest time to when you typically go to bed in the evening.
4

Evening time I went to sleep

Select the closest time to when you typically fall asleep in the evening.
5

Did I use technology within the hour before sleep?

Select yes if you used technology within the hour before going to sleep, otherwise select no.
6

What technology did I use?

Specify the technology you used within the hour before sleep.
7

How many hours of sleep did I get?

Enter the total number of hours of sleep you got in a night.
8

Overall, how would you rate the quality of your sleep?

Rate the quality of your sleep on a scale of 1 to 10, where 1 is poor and 10 is excellent.
9

Did you feel refreshed upon waking up?

Select yes if you felt refreshed upon waking up, otherwise select no.
10

Did you follow a consistent sleep schedule this week?

Select yes if you followed a consistent sleep schedule throughout the week, otherwise select no.
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