1C Daniel Shi(9),James Tam(11),Kristen Leung(25),Jasmine Lee(27).

Hong Kong people’s sleep problems

Personal Information: [ Please tick in the (   )  ]
Sex:    (  ) Male    (  )  Female
Age:    (  )below 12     (  )12-20    (  )21-35   (   ) 36-50      (   )51-65      (   )65-80      (  ) 80 or < 80

1. How long does it take for you to fall into sleep?

( )Below 5 min
( ) 5-15 min
( )16-30 min
( )31-45 min
( )45-60 min
( )more than 1 hour
2. Do you do exercise everyday?
( )Yes
( )No

3. Doing more exercise will make you sleep better. (Please tick ( )

Strongly Agree Neutral Disagree Strongly disagree

agree

4. How long do you sleep?

( )5 hours or below    
( )6-7 hours
( )8-9 hours
( )10-11 hours
( )12 hours or above

5. How would you rate the problems caused by lack of sleep among your daily life?(Please circle)
                                    Not significant             Very significant
Unable to concentrate            1   2   3   4   5   6   7   
Work less efficiency                1   2   3   4   5   6   7   
Unable to control emotion     1   2   3   4   5   6   7   
Lack motivation                       1   2   3   4   5   6   7   

6.What do you think affects your sleeping time the most ?Please rank the top 3
 A. Over workload
B. Stress
C. Having drinks or food with caffeine before sleep
D. Using technology items (tablets,phones)before sleeping
E. Having old sleeping hours

  1 most affective _͕_͕

͕͕͕ _
͕͕͕ 3 least effective