I was wondering, if anyone had time maybe they could complete my survey, and send it to me when done? It will remain anonymous, so there’s nothing to worry about. My email is - fir3_potion@msn.com
Sleep Disorders – Survey Questions
1. Are you a male or a female?
a) Male
b) Female
2. Do you or anyone you know have a sleep disorder?
a) Yes
b) No
3. Who do you believe is affected more by sleep disorders?
a) Kids (under 10)
b) Teens
c) Adults
d) Unsure
4. Do you think that the public are well informed about sleeping disorders?
a) Yes
b) No
5. Are sleep disorders more common in males or females?
a) Males
b) Females
6. How much sleep do you get each night?
a) 4-6
b) 5-7
c) 8-10
d) 10+
7. Do you think that people with sleeping disorders are aware that they have a sleep disorder?
a) Yes
b) No
8. Are sleep disorders common?
a) Yes
b) No
c) Unsure
(continued…)
9. Do sleep disorders have a negative or a positive affect on people’s daily lives? (Both the people suffering with the sleep disorder, and those around them)
a) Negative
b) Positive
c) Unsure
10. Do you believe that there has been a major increase in health problems (of any sort) over the past few years?
a) Yes
b) No
c) Unsure
11. Out of the following four sleep disorders, which one are you most familiar with?
a) Sleep Apnea (aka Insomnia: having trouble falling asleep – constantly waking up throughout the night)
b) Sleep Walking/ Talking
c) Bruxism (Teeth Clenching / Grinding)
d) Snoring
12. What factors do you think play a huge part in affecting sleep apnea (Insomnia)?
a) Weight Gain
b) Alcohol Intake
c) Smoking
d) All of the above
13. Is there a cure for sleep disorders?
a) Yes
b) No
c) Depends on the sleep disorder
d) With time, it’ll go away on its own
14. How do you know if you are being affected by a sleeping disorder?
a) Fatigue (in the morning you are very tired – even more than when you went to bed)
b) You wake up in another room (rather than the one you fell asleep in)
c) Change in appetite
d) All of the above
15. Do you usually eat junk or drink caffeine after 8 pm?
a) Yes
b) No
c) Sometimes
16. How often do you get nightmares when you sleep?
a) Always
b) Rarely
c) Never
d) I only have good dreams
17. Does going to sleep late not only affect your sleep cycle, but your daily lives as well?
a) Yes
b) No
c) Sometimes
18. Do you have trouble falling asleep during the night?
a) Yes
b) No
c) Sometimes
19. Can sleep disorders affect your health?
a) Yes
b) No
c) Depends on the sleep disorder
20. Are sleep disorders genetic?
a) Yes
b) No
c) Unsure
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