Impact of Technology on Sleep- STUDENTS ONLY What grade are you in? Sopnomore Coleg ‘Thinking about the past two weeks, at what time do you usually ‘get up on weekdays? ‘At what time do you usually go to bed on weeknights? (On schoo! nights, how many hours do you usually sie cone night? uring How often do you sleep with any light on in your bedroom? © Brerynignt or aimost every single night (O Afew nights weak © Rarely O Never How many minutes, on most schoo! nights/weeknights, does it take you to fall asleep? (© Less than 10 minutes © 101015 minutes 151030 minstes © 301048 minstes © ASminutes 191 hour © how armere ‘On average, how mary minutes would you say you usually nap ‘on school days? O Be (© Less than 15 mates © 151030 minutes © mre minutes © 4Smnatest0 1 hour O thawermore ‘On how many school nights would you say “I had a good nights sleep"? eyiane © Almost every ign O ray ‘Thinking about the past two weeks, does your current school ‘schedule, including your duties at home, allow you to gat adequate sloop? O ves “Thinking about the past two weeks, on atypical night, which of the fllowing have you used in the hour befare tying to goto sleep? cattone hat do you usu togot sleep? with your eal phone when you ste ready Inthe past Few wooks, hw often have you had phone calls, text ‘messages or emails that wake you after trying to goto sleep? erin or strstr cnet