Sleeping well directly affects your mental and physical health and the quality of your waking life. Please take a few minutes to complete this survey.
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1. Please specify your gender. Male Female
2. How many hours per day do you sleep on average? More than 8 hours 6-8 hours 4-6 hours Less than 4 hours
3. What time do you sleep? 20:00~22:00 22:00~00:00 00:00~02:00 After 02:00 Not sure
4. Do you often dream? Always Most the time Occasionally Never
5. while you sleep, will you grind your teeth/snoring/talkative? Snoring Talkative Grind your teeth None at all
6. The way you wake up the next day:
Wake up naturally Awakened by an alarm or noisy Other, please specify
7. What factors do you think affect your sleep?
Roommate sleep late, static and dynamic, bright lights Own nerve fragile, easily affected by small sounds Pressure, too anxious Life boring, irregular Nightlife excessive (games, parties, go out to spend time) Smoking and drinking habits Other, please specify
8. Do you think your quality of sleep is good? Very good Better Fine Poor
9. If you are hard to fall asleep, which of the following measures will you take to resolve? Listen to light music Chat with your roommate Consult a doctor Do not take any action Forced to fall asleep Other, please specify
10. Do you worry about your quality of sleep? Yes, will be actively self-adjustment Yes, but for the time being without any treatment No
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