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Most Common Daily Activities Survey

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

Secured
1

What is the most common daily activity for you?

Please select the option that best describes the activity you do most often.
2

Rate the importance of daily activities on a scale of 1 to 10

Please rate the importance of daily activities with 1 being least important and 10 being most important.
3

Describe your daily routine briefly

Please provide a short description of your daily routine.
4

Which meal of the day do you enjoy the most?

Please select the meal that you enjoy the most during the day.
5

How many hours of sleep do you get on an average night?

Please provide the number of hours you typically sleep in a night.
6

Rate your stress level on a scale of 1 to 10

Please rate your stress level with 1 being no stress and 10 being extremely stressed.
7

Do you engage in any form of physical activity daily?

Please indicate whether you engage in any physical activity daily.
8

What is the first thing you do when you wake up?

Please select the option that best describes the first thing you do upon waking up.
9

How many cups of coffee or tea do you drink in a day?

Please provide the number of cups of coffee or tea you consume in a day.
10

Rate your overall happiness level on a scale of 1 to 10

Please rate your overall happiness level with 1 being least happy and 10 being happiest.