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Hello:
You are invited to participate in our survey [Project Description Here]. In this survey, approximately [Approximate Respondents] people will be asked to complete a survey that asks questions about [General Survey Process]. It will take approximately [Approximate Time] minutes to complete the questionnaire.

Your participation in this study is completely voluntary. There are no foreseeable risks associated with this project. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point. It is very important for us to learn your opinions.

Your survey responses will be strictly confidential and data from this research will be reported only in the aggregate. Your information will be coded and will remain confidential. If you have questions at any time about the survey or the procedures, you may contact [Name of Survey Researcher] at [Phone Number] or by email at the email address specified below.

Thank you very much for your time and support. Please start with the survey now by clicking on the Continue button below.

 
 
 
Please select your sex
 
Male
 
Female
 
Prefer not to answer

 
 
 
Please select your age group
 
18-21
 
22-25
 
26-29
 
30- above
 
Prefer not to answer
 
 
 
Please select whether are enrolled in a pubic or private education institute for your studies.
 
Private
 
Public
 
 
 
Please select your ethincity 
 
White
 
Black
 
Asian
 
Mixed race
 
Prefer not to answer
 
Other
 
 
 
 
How many technological devices you own?
   
 
 
 
What type of technological devices do you own (Select all that apply)?
 
Smartphones
 
Tablets/I-Pads
 
Laptops
 
I-Pods/Mp3 players
 
PC(s)
 
TV
 
Other
 

 
 
 
Which type of technological devices do you use most before you sleep (Select all that apply)?
 
Smartphones
 
Tablets/I-Pads
 
Laptops
 
I-Pods/Mp3 players
 
PC(s)
 
TV
 
Other
 

 
 
 
How often do you conduct surveys?
 
Weekly
 
Monthly
 
Quarterly
 
Annually
 
 
 
Do you have accesss to the internet at anytime of the day?
 
Yes
 
No