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How long do you sleep every day/night?
 
0-2 hrs
 
3-6 hrs
 
7-9 hrs
 
10 or more
 
 
 
How frequent do you need sleeping aids to be able to fall alseep?
 
Always
 
Almost always
 
Sometimes
 
Never
 
 
 
You get your best sleep at night.
 
Always
 
Almost always
 
Sometimes
 
Never
 
 
 
You sleep more during the day than you do at night. 
 
Always
 
Almost always
 
Sometimes
 
Never
 
 
 
When  reading a book, how often do you fall sleep?
 
Always
 
Almost almost
 
Sometimes
 
Never
 
 
 
How often are you sleepy when driving home from work?
 
Always
 
Almost never
 
Sometimes
 
Never
 
 
 
How often do you doze off watching T.V.
 
Always
 
Almost Always
 
Sometime
 
Never
 
 
 
On your days off you go to bed early.
 
Always
 
Almost always
 
Sometimes
 
Never
 
 
 
On your day off you are able to sleep the opposite part of the day that you work.
(Example Working night shift do you sleep at night when off)
 
Always
 
Almost always
 
Sometimes
 
Never
 
 
 
When I wake up during the night I can't usually go right back to sleep.
 
Always
 
Almost Almost
 
Sometimes
 
Never
 
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