关于睡眠质量的问卷

Q1:1.Gender

Male

Female

Others

2.How long do you sleep on average every day

Less than six hours

Six to seven hours

Seven to eight hours

More than 8 hours

3.Do you have a regular sleep schedule(Fall asleep and wake up at similar times each day )

Yes

4.When you sleep, do you have the following symptoms

Easily roused from sleep

Difficulty falling asleep

Early morning awakening

Morning fatigue

Nightmare

Others

5.What factors do you think are contributing to your poor sleep quality

Use electronic devices before bed

Noise

physical condition

Diet

Psychological states

Others

6.Whether or not you use electronic devices in the half-hour before bed

Yes

7.Have you been affected by noise while falling asleep or during sleep?

Yes

8.Do you use any means (e.g. earplugs) to block out noise?

Yes

9.What's your health condition?

I hardly ever get sick

I get a little sick sometimes

I get sick easily

I have a disease that is difficult to cure

10.When you have an illness, how often can you not sleep because of it?

Everyday

Many times a week

Never

11.Do you eat foods high in oil and fat within 4 hours of bedtime?

Yes

12.Do you consume anything exciting (coffee, cigarettes,drugs etc.) 4 hours before bed?

Yes

13. Do you easily roused from sleep or can't sleep because of stress or irritability?

Yes

14.Do you need medication to help you sleep? (includes medicines purchased by hospitals and pharmacies)

Yes

关于睡眠质量的问卷

关于

1年前

更新

频次

题目数

有问题？问问AI帮你修改改主题：如咖啡问卷改为奶茶问卷