do you feel the need to take naps during the day

-yes no
what do you usually do before bed
-open ended question
*****what is your age group
-18-24
-25-33
-34-44
-44+
do you have technology in the room before going to bed
yes no
*******what is your sex
-male
-female
-other
do you struggle to stay awake during the day (in class etc)
-yes
-no
*****i usually make up for loss of sleep by
-redbull/energy drink
-caffeine
-nap
-other
-sleep late on weekends
-adjust schedule
-live with less sleep
-sleep in class
i am most likely to ___ before bed
-watch tv
-read
-use my computer
-eat a snack
-other
*****i most likely blow off sleep to
-study
-work
-watch tv
-hang out with friends/party
-do not blow off sleep
if i am sleep while styding i most likely
-take a short break
-start studying something else
-keep studying at all costs
-drink caffeinated drink
-other
do you drink caffeine
-yes
-no
are you disatisfied with your sleep
-yes
-no
******do you suffer from sleep disorders
-snoring
-sleeping in
-getting up in middle of night
-trouble getting up
-insomnia
-no i do not suffer from sleep disorders
how long does it take you to fall asleep
-instantly

-5-30 min
-30 min to 1 hour
-a couple hours
*******are your classes affecting your sleep schedule
-yes
-no
when the alarm goes off in the morning how do you feel
-i'm up before the alarm goes off
-i jump right out of bed
-i immediately reach for the snooze button
-i feel like i just laid down
how often do you drink alcohol
-never
-not often
-often
-very often
-eery day
******ethnicity
-white
-african american
-other (specify)
-latino
-asian
do you feel like you have less motivation throughout the day if you have less sl
eep
-yes
-no
do you feel like academic performance (class, exam) is hindered due to lack of s
leep?
******what is your major
-science
-mathematics
-liberal arts
-business
-arts
-other
(open end)
******do you have a job
-yes
-no
do you work late/get home after 10
-yes
-sometimes
-no
do you feel that you are sleep deprived as a college student
-yes
-no
what day do you feel is the hardest to get up in the morning
-sunday
-monday
-tuesday
-wednesday
-thursday
-friday
-saturday
how often would you say stress interferes with your ability to fall asleep/sleep
through the night
-very often(5 days)
-often (3-4 days)
-somewhat often (2-3 days)

-not often (1-2 days)

if answered yes state the cause of your stress (school, relationship problems, f
amily crisis, worry about future)
-open ended