Share the Survey:
 Sleep Quality
Sleeping well directly affects your mental and physical health and the quality of your waking life. Please take a few minutes to complete this survey.

1.  Please specify your gender.

  Male
  Female


2.  How many hours per day do you sleep on average?

  More than 8 hours
  6-8 hours
  4-6 hours
  Less than 4 hours


3.  What time do you sleep?

  20:00~22:00
  22:00~00:00
  00:00~02:00
  After 02:00
  Not sure


4.  Do you often dream?

  Always
  Most the time
  Occasionally
  Never


5.  while you sleep, will you grind your teeth/snoring/talkative?

  Snoring
  Talkative
  Grind your teeth
  None at all


6.  The way you wake up the next day:

  Wake up naturally
  Awakened by an alarm or noisy
Other, please specify


7.  What factors do you think affect your sleep?

  Roommate sleep late, static and dynamic, bright lights
  Own nerve fragile, easily affected by small sounds
  Pressure, too anxious
  Life boring, irregular
  Nightlife excessive (games, parties, go out to spend time)
  Smoking and drinking habits
Other, please specify


8.  Do you think your quality of sleep is good?

  Very good
  Better
  Fine
  Poor


9.  If you are hard to fall asleep, which of the following measures will you take to resolve?

  Listen to light music
  Chat with your roommate
  Consult a doctor
  Do not take any action
  Forced to fall asleep
Other, please specify


10.  Do you worry about your quality of sleep?

  Yes, will be actively self-adjustment
  Yes, but for the time being without any treatment
  No