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How long do you sleep at night?
 
1-2 hours
 
3-4 hours
 
5-6 hours
 
7-8 hours
 
more than 8
 
 
 
How long do you lay in bed before falling asleep?
 
5-10 minutes
 
10-20 minutes
 
20-30 minutes
 
3o-40 minutes
 
40-50 minutes
 
Longer than 1 hour
 
 
 
Which of these activities do you do in bed (select all that apply)
 
Read
 
Watch T.V.
 
Eat
 
Listen to music
 
Play video games
 
Other

 
 
 
What time do you go to bed during the week?
   
 
 
 
What time do you go to bed during the weekend?
   
 
 
 
What time do you get up during the week?
   
 
 
 
What time do you get up during the weekend?
   
 
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