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How much sleep do you get per night ?
 
8 hours
 
7 hours
 
6 hours
 
5 or less
 
 
 
Do you feel that you are getting enough sleep at night ?
 
yes
 
no
 
 
 
how often do you pull all-nighters per week?
 
once or twice a week
 
two or three times per week
 
everyday
 
 
 
does a lack of sleep affect your performance in class?
 
yes
 
no
 
 
 
does a lack of sleep cause you to skip class ?
 
yes
 
no
 
 
 
How many hours do you spend on homework
 
5 hours
 
4 hours
 
3 hours
 
2 hours or less
 
 
 
How often do you fall asleep before midnight
 
often
 
sometimes
 
never
 
 
 
How often are you late for class because you over slept?
 
often
 
sometimes
 
never
 
 
 
do you take naps after school?
 
yes
 
no
 
 
 
How much sleep are you getting before tests?
 
8 hours
 
7 hours
 
6 hours
 
5 or less