Sleep Survey: 1. What year student are you?

A)First year B)Second year C)Third Year D)Fourth year E)Graduate or Doctoral Student 2. On average how many hours do you sleep at night? A)4 or Less B)5 hours C)6 hours D)7 hours

E)8 hours or more

3. About what time do you usually sleep on school nights (Sunday-Thursday)? A)6:00 p.m. B)8:00 p.m. C)10:00 p.m. D)12:00 a.m. E)2:00 a.m. or later 4. Are you satisfied with your current sleep schedule? A)Yes B)No 5. Do you take naps? A)Yes B)No 6. How long do you nap? A)20 minutes or less B)30 minutes C)45 minutes D)60 minutes (one hour) E)2 hours or more 7. About what time is your earliest class? A)7:30 a.m. or earlier B)8:00 a.m. C)9:00 a.m. D)10:00 a.m. E)11:00 a.m. or later 8. How many times a week do you have your earliest class? A)Twice a week or less B)Three times a week or more 9. Do you wake-up tired for any of your classes? A) Yes B)No 10. Have you ever accidently missed a class because you overslept, or were too exhausted to go? A) Yes B)No 11. If you have missed a class because you overslept, how many times have you overslept this current semester? A)Once B)Twice C)Three times D)Five Times E)Seven times or more F)Never 12. Do you sleep in class? A)Yes B)No 13. Do you feel as if you have wasted lectures or class periods because you were fatigued or asleep? A)Yes B)No 14. How often does the latter happen? A)Never B)Not often

C)Often

D)Very Often

15. Are you satisfied with your current GPA? A)Yes B)No

16. Have you ever driven a vehicle while extremely exhausted? A)Yes B)No 17. Have you ever received a clinical diagnosis of insomnia? A)Yes B)No 18. Has anyone in your immediate or direct family been clinically diagnosed with insomnia? A)Yes B)No 19. Have you ever been prescribed medicine, by a doctor or physician, to aid with a sleep disorder? A)Yes B)No 20. Do you get strong feelings of depression, anxiety, or other feelings of distress? A)Yes B)No 21. How often do you get these feelings of distress? A)Never B)Not often C)Often 22. Do you exercise regularly? A)Yes B)No 23. Do you sleep better on non-school nights (Friday-Saturday), as opposed to how you sleep on school nights? A)Yes B)No 24. About what time do you sleep on non-school nights? A)6:00 p.m. B)8:00 p.m. C)10:00 p.m. D)12:00 a.m.

D)Very Often

E)2:00 a.m. or later

25. About what time do you wake-up during the weekend (Saturday-Sunday)? A)6:00 a.m. or earlier B)8:00 a.m. C)10:00 a.m. D)12:00 p.m. E)2:00 p.m. or later 26. Do you live on campus? A)Yes B)No