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Nuñez Survey Instrument
Nuñez Survey Instrument
the need to finish loads of school works that are needed to be passed before their
respective deadlines. Due to this, students are putting not only their health at risk but also
their mental capacity, where in studies have claimed that sleep deprivation negatively
affects how a student perform academically. Hence, this study is conducted to know of
3. Does the academic performance of sleep deprived students differ from those
Instructions: For each of the remaining questions, check the one the best
corresponds with your answer. Please answer all questions.
i. Have pain
j. Other reason(s), please describe,
including how often you have had
trouble sleeping because of this
reason(s):
________________________
The Effects of Sleep Deprivation on the Academic Performance of Students
Anna Carmela T. Nuñez
Grade 12 STEM Blaise Pascal
6. During the past month, how often have
you taken medicine (prescribed or “over
the counter”) to help you sleep?
7. During the past month, how often have
you had trouble staying awake while
driving, eating meals, or engaging in
social activity?
8. During the past month, how much of a
problem has it been for you to keep up
enthusiasm to get things done?
Fairly Very
Very Fairly
good bad (3)
good (0) bad (2)
(1)
9. During the past month, how would you
rate your sleep quality overall?
Three or
Not Less
Once or more
If you have a roommate or bed partner, ask him during than
twice a times a
or her how often in the past month have you had: the past once a
week week
month week
a. Loud snoring
Adapted from the University of Pittsburgh, Sleep Medicine Institute, Pittsburgh Sleep Quality Index
(PSQI) website http://www.sleep.pitt.edu/content.asp?id=1484&subid=2316