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Daily Life Survey
Dear Sir or Madam, please take a few minutes of your time to complete the following questionnaire.
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1
What is your morning routine?
Select the option that best describes your morning routine
Wake up early and exercise
Sleep in and have a big breakfast
Rush out the door for work/school
2
Rate your daily productivity
Rate your productivity on a scale from 1 to 10
3
Describe your typical lunch
Write a brief description of what you usually have for lunch
4
How do you unwind after a long day?
Select the option that best describes how you relax after a busy day
Watch TV or movies
Read a book
Go for a walk/run
5
Rate your quality of sleep
Rate the quality of your sleep on a scale from 1 to 10
6
How often do you exercise?
Select how often you engage in physical activity
Every day
3-5 times a week
Rarely or never
7
Rate your stress levels
Rate your stress levels on a scale from 1 to 10
8
What is your favorite way to spend weekends?
Choose your favorite weekend activity
Traveling and exploring new places
Relaxing at home
Meeting friends or socializing
9
Share a highlight from your day
Write about a memorable moment or highlight from your day
10
What activities do you typically do in your free time?
Select one or more answers
Exercising
Watching TV/Movies
Socializing
Other-
11
What are you monthly accomplishments?
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