Gender: Male __ Female __ Year: First year student ___ Second year student ___ SECTION 1: PLEASE CIRCLE

E TRUE OR FALSE. 1. I had a deep sleep last night. 2. I feel that I slept poorly last night. 4. I woke up several times last night. 5. I can focus in morning class. 6. I can focus in evening class. 7. I can focus in night class. 8. I felt tired after waking up this morning. 9. I feel that I didn't get enough sleep last night. 10. I felt rested after waking up this morning. 11. I feel that I only had a couple of hours' sleep last night. 12. I didn't have trouble falling asleep last night, 13. I didn't get more than 7 hours' sleep last night. 14. I think sleep duration affect school performances among student. TRUE FALSE TRUE FALSE TRUE FALSE TRUE FALSE TRUE FALSE TRUE FALSE TRUE FALSE TRUE FALSE TRUE FALSE TRUE FALSE TRUE FALSE TRUE FALSE TRUE FALSE

SECTION 2: PLEASE ANSWER EACH QUESTION ON THE LINE PROVIDED WITH NUMBERS. 15. In an average week, how many nights do you get less than five hours of sleep? _____________ 16. In an average night, how many hours of sleep do you get? ________ 17. In the past year, how many all-nighters have you pulled? _________ 18. How many hours of sleep do you get before examination day? ________ 19. What is the best sleep duration based on your opinion? ________ SECTION 3:FILL IN TNE BLANK ACCORDING TO QUESTION. 20. What is your course? _____________ 21. What is your GPA? (note: this information is confidential) ______