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Surveys
2012
April
S
Stress and Sleep
Stress and Sleep
0%
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Aloha!
You are invited to participate in our survey regarding stress and sleep. In this survey, participants will be asked to complete a survey that asks questions about their daily experiences with their stress and sleep patterns. It will take about 20 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 results. 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 us by email at any of the email addresses below.
[email protected]
[email protected]
[email protected]
[email protected]
[email protected]
[email protected]
Thank you very much for your time and support. Please start with the survey now by clicking on the
Continue
button below.
I Agree
Gender
-- Select --
Male
Female
Age
-- Select --
Less than 18
18 to 29
30 to 39
40 to 49
50 or older
Marital status
-- Select --
Single
Married
Divorced
Separated
Widowed
Race (choose one)
-- Select --
White
Hispanic, non-Hispanic
African-American
Hispanic
Asian/Pacific Islander
Native American
Other
Do you feel overwhelmed with school/work?
1 Not Stressed
2
3
4 Neutral
5
6
7 Very Stressed
Are you worried about finances?
1 Not Stressed
2
3
4 Neutral
5
6
7 Very Stressed
Do you have family problems?
1 Not Stressed
2
3
4 Neutral
5
6
7 Very Stressed
Do you experience anxiety?
1 Not Stressed
2
3
4 Neutral
5
6
7 Very Stressed
Are your friends or family adding to your level of stress?
1 Not Stressed
2
3
4 Neutral
5
6
7 Very Stressed
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