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Exit Survey
 
 
What is your residence status?
 
Commuter
 
Dormitory
 
Apartment
 
Off-Campus
 
 
 
Please list any sleeping disorders you may have:
   
 
 
 
Are there any factors you feel could be affecting your sleep? Please list:
   
 
 
 
How many hours do you feel you need to perform your best?
 
>10
 
9
 
8
 
7
 
6
 
5
 
=<4
 
 
 
How many hours of sleep do you get on the weekdays?
 
>10
 
9
 
8
 
7
 
6
 
5
 
<=4
 
 
 
How many hours of sleep do you get on the weekends?
 
>10
 
9
 
8
 
7
 
6
 
5
 
=>4
 
 
How do you feel about the following?
Strongly Disagree Disagree Neutral or Unsure Agree Strongly Agree
I am well educated on sleep, how it works and why we need it
Performing daily tasks without enough sleep is dangerous
The amount of sleep I have directly influences my performance
Sleep has a positive effect on my mental performance
Sleep has a positive effect my physical performance
The more sleep I have, the better I feel
There is such a thing as too much sleep
 
 
 
How many hours of sleep do you get on the weekends?
 
>10
 
9
 
8
 
7
 
6
 
5
 
=>4
 
 
 
What is your Major?
   
 
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