1. If you woke up naturally without an alarm clock, you would sleep:
• 9 or 10 hours
• 7 or 8 hours
• More than 10 hours
2. How often do you get sleepy when driving?
• Hardly ever
• Almost every day
• Sometimes
3. Do you fall asleep when you watch TV at night?
• No
• Sometimes
• Almost always
4. After four in the afternoon, how much caffeine do you have?
• None
• A cup of coffee, tea, or a soda
• Multiple cups of coffee, tea, or sodas
5. Do you eat right before bed?
• Sometimes
• Almost always
• Hardly ever
6. How difficult is it to get up in the morning?
• Not too difficult
• Depends on the day
• Quite difficult
7. Do you use alcohol or sleeping aids to get to sleep at night?
• Sometimes
• At least once a week
• No

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