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Factors in Caffeine Consumption
Hello!
This survey is being conducting to find out a few of the many factors in the consumption of caffeine and analyze the results for a statistics class. Please take a few minutes to complete this 15 question survey. It should not take any longer than 5 minutes. Thank you in advance for your time and participation!
 
 
 
* What is your gender?
 
Male
 
Female
 
 
 
* What description best describes your situation?
 
High school student
 
College Student
 
Full time worker
 
Part time worker
 
Both High School Student and Full time worker
 
Both High School Student and Part time worker
 
Both College Student and Full time worker
 
Both College Student and Part time worker
 
None of the above
 
 
 
* What shift do you work?
 
Day shift (1st)
 
Evening shift (2nd)
 
Night shift (3rd)
 
None of the above
 
 
 
* What is your age range?
 
14-19
 
20-25
 
26-31
 
32-37
 
38-43
 
44-49
 
50+
 
 
 
* How many hours of sleep per night do you get on average?
 
4 or less
 
5-6
 
7-8
 
9-10
 
11 or more
 
 
 
* What category best fits your occupation/industry or desired field if you are a student currently without a job:
 
Health care
 
Food Service
 
Retail
 
Secretarial
 
Management
 
Education
 
Factory
 
 
 
* On a scale of 1-10, , how would you rate your overall stress level:(1-being low; 10-being high)
   
 
 
 
* On an average day, rate your level of energy between 1-10: (1-no energy/poor; 10-abundant energy/excellent)
   
 
 
 
* How often do you drink caffeinated beverages? (Coffee, energy drinks, soft drinks, tea, etc.)
 
Never
 
1-2 days/week
 
3-4 days/week
 
4-5 days/week
 
5-6 days/week
 
Daily
 
 
 
* How many many ounces of caffeine do you consume on a daily basis?
 
None
 
1-8 ounces
 
9-16 ounces
 
17-24 ounces
 
25 ounces or more
 
 
 
* If you were to drink any of the following, rank the order in which you’d drink it (1-favorite/preferred drink, 2 – second, etc):
Drag your choices here to rank them
     
     
     
    In the previous ranking question, what would "other" be for you?
       
     
     
     
    * How much of your daily caffeine consumption is from your drink of choice?
     
    All of it
     
    75%
     
    50%
     
    Less than 50%
     
     
     
    * When do you consume the most caffeine?
     
    Day
     
    Afternoon
     
    Evening
     
    Night
     
     
     
    * Would you say that without your caffeine, you would have a “bad day?”
     
    Definitely yes!
     
    No, not at all
     
    Meh blergh
     
     
     
    * Can you go 24-72 hours without caffeine?
     
    Yes
     
    No